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TRACIE ANN BOLEN LMSW
NPI 1487179172
Social Worker in Caldwell, ID

Active since August 03, 2017PECOS EnrolledAccepts Medicare Assignment
314 BADIOLA ST, CALDWELL, ID 83605(208) 454-8389(208) 454-8404 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracie Ann Bolen Lmsw NPPES

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

TRACIE ANN BOLEN LMSW (NPI 1487179172) is an individual social worker in Caldwell, Idaho, licensed in Idaho (LMSW-36749) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1487179172
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTRACIE ANN BOLENCredential: LMSW
Location Address314 BADIOLA STCaldwell, ID 83605-4389
Mailing Address3506 S Bo Daniel PlNampa, ID 83687-9038 · (208) 284-4269
Phone(208) 454-8389
Fax(208) 454-8404
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 3, 2017
✔ NPI 1487179172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ID · LMSW-36749
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
314 BADIOLA ST, Caldwell, ID 83605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health.Insurance ›

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

Tracie Ann Bolen Lmsw 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 ID4981017761
PECOS Enrollment IDI20210115002350
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services13 patients

Other Providers at the Same Location NPPES 16

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

MERIA REUSSER CPRP
Community Health Worker
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389
MARY KAY GORDON-BRUNNER
Social Worker (Clinical)
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (702) 589-4871
CRAIG M JOHNSON
Social Worker (Clinical)
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389
MR. CHRISTOPHER EDWARD OTOOLE LMSW
Social Worker
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389
ELENA RAMIREZ
Social Worker
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389
KEVIN COLIN SORAN HENSON
Counselor
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389
HUMAN SUPPORTS OF IDAHO, INC.
Community/Behavioral Health
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389
HUMAN SUPPORTS OF IDAHO, INC.
Case Management
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389

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 Tracie Bolen's NPI number?

The NPI number for Tracie Bolen is 1487179172. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Tracie Bolen located?

Tracie Bolen practices at 314 Badiola St, Caldwell, ID 83605. The listed phone number is (208) 454-8389.

What is Tracie Bolen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Tracie Bolen enrolled in Medicare?

Yes. Tracie Bolen 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.

What insurance does Tracie Bolen accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Tracie Bolen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracie Bolen was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.