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SAMUEL T BOLIN JR LCSW-C, LLC
NPI 1578091583
Social Worker - Clinical in Linthicum, MD

Active since June 03, 2017
939 ELKRIDGE LANDING RD STE 350, LINTHICUM, MD 21090(443) 588-8753 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2021, Jun 3, 2017 (2 updates tracked since 2017).

About Samuel T Bolin Jr Lcsw-c, Llc NPPES

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

SAMUEL T BOLIN JR LCSW-C, LLC (NPI 1578091583) is a healthcare organization registered as a clinical in Linthicum, Maryland and active in the NPI registry since June 2017. The organization maintains a secondary practice location in Linthicum and lists Samuel Todd Bolin, Owner, as its authorized official.

NPPES Registry Identity

NPI1578091583
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSAMUEL T BOLIN JR LCSW-C, LLC
Location Address939 ELKRIDGE LANDING RD STE 350Linthicum, MD 21090-2909
Mailing Address1013 Bluebells RdGambrills, MD 21054-2059 · (443) 310-0466 · Fax (443) 231-4331
Phone(443) 588-8753
Organization SubpartNo
Authorized OfficialSamuel Todd BolinOwner · (443) 310-0466
Enumeration DateJune 3, 2017
Last NPPES UpdateNovember 12, 20212 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
✔ NPI 1578091583 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 MD · 20697
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.
939 ELKRIDGE LANDING RD STE 350, Linthicum, MD 21090
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Secondary Practice Location 1

Location 1518 S Camp Meade Rd Ste 4Linthicum, MD 21090-2766 · Phone (443) 588-8753 · Fax (443) 231-4331

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel T Bolin Jr Lcsw-c, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Samuel T Bolin Jr Lcsw-C, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samuel Bolin, LCSW-C
Clinical Social Worker
NPI 1598175648
939 ELKRIDGE LANDING RD STE 350
Linthicum, MD 21090
(443) 588-8753
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Samuel T Bolin Jr Lcsw-C, LLC's NPI number?

The NPI number for Samuel T Bolin Jr Lcsw-C, LLC is 1578091583. It was assigned to this organization in the NPPES registry on June 3, 2017.

Where is Samuel T Bolin Jr Lcsw-C, LLC located?

Samuel T Bolin Jr Lcsw-C, LLC is located at 939 Elkridge Landing Rd Ste 350, Linthicum, MD 21090. The listed phone number is (443) 588-8753.

What is Samuel T Bolin Jr Lcsw-C, LLC's specialty?

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

Is Samuel T Bolin Jr Lcsw-C, LLC enrolled in Medicare?

Yes. Samuel T Bolin Jr Lcsw-C, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samuel T Bolin Jr Lcsw-C, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Samuel T Bolin Jr Lcsw-C, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samuel T Bolin Jr Lcsw-C, LLC was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.