LARRY BOLDEN BA, SST
NPI 1265772446
Case Manager/Care Coordinator in Detroit, MI

Q: What is Larry Bolden's NPI number?

The NPI number for Larry Bolden is 1265772446. It was assigned to this individual provider in the NPPES registry on February 25, 2013.

Q: What is Larry Bolden's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Bolden was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 25, 2013

2939 RUSSELL ST, DETROIT, MI 48207(313) 396-5300 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Larry Bolden Ba, Sst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY BOLDEN BA, SST (NPI 1265772446) is an individual case manager/care coordinator provider in Detroit, Michigan, licensed in Michigan (6803086288) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1265772446

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameLARRY BOLDENCredential: BA, SST

Location Address2939 RUSSELL STDetroit, MI 48207-4825

Mailing Address7512 Woodview St, Apt. 203Westland, MI 48185-5937 · (313) 396-5300

Phone(313) 396-5300

Sole ProprietorNo

Enumeration DateFebruary 25, 2013

✔ NPI 1265772446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in MI · 6803086288

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2939 RUSSELL ST, Detroit, MI 48207

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE SHARRON RAMSEY-VANOVER RN

Registered Nurse