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VIRGINIA BOLAN
NPI 1477026607
Social Worker - Clinical in Champaign, IL

Active since January 10, 2019PECOS EnrolledAccepts Medicare Assignment
701 DEVONSHIRE DR STE B1, CHAMPAIGN, IL 61820(217) 352-0200(217) 607-1139 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Virginia Bolan NPPES

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

VIRGINIA BOLAN (NPI 1477026607) is an individual clinical provider in Champaign, Illinois, licensed in Illinois (149020864) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1979).

NPPES Registry Identity

NPI1477026607
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVIRGINIA BOLAN
Location Address701 DEVONSHIRE DR STE B1Champaign, IL 61820-7337
Mailing Address701 Devonshire Dr Ste B1Champaign, IL 61820-7337 · (217) 352-0200 · Fax (217) 607-1139
Phone(217) 352-0200
Fax(217) 607-1139
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1979
Enumeration DateJanuary 10, 2019
✔ NPI 1477026607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149020864
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
701 DEVONSHIRE DR STE B1, Champaign, IL 61820
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Virginia Bolan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335489772
PECOS Enrollment IDI20190320002875
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

NATALIE ROBERSON MS, LPC, NCC
Counselor (Professional)
701 DEVONSHIRE DR STE B1
CHAMPAIGN, IL 61820
Champaign County (815) 988-8594
CAROL OSGOOD LCSW
Social Worker (Clinical)
701 DEVONSHIRE DR STE B1
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
GINA YU LPC
Counselor (Professional)
701 DEVONSHIRE DR STE B1
CHAMPAIGN, IL 61820
Champaign County (217) 778-4134
LASHAUNNA DENISE LESURE LCSW
Social Worker (Clinical)
701 DEVONSHIRE DR STE B1
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Virginia Bolan's NPI number?

The NPI number for Virginia Bolan is 1477026607. It was assigned to this individual provider in the NPPES registry on January 10, 2019.

Where is Virginia Bolan located?

Virginia Bolan practices at 701 Devonshire Dr Ste B1, Champaign, IL 61820. The listed phone number is (217) 352-0200.

What is Virginia Bolan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Virginia Bolan enrolled in Medicare?

Yes. Virginia Bolan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Virginia Bolan was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.