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JUDY BOLANOS
NPI 1629425384
Social Worker - Clinical in New London, CT

Active since May 23, 2016PECOS EnrolledAccepts Medicare Assignment
21 MONTAUK AVE, NEW LONDON, CT 06320(860) 439-6416(860) 390-1463 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2025, Nov 8, 2021, May 7, 2021 and 1 more (4 updates tracked since 2018).

About Judy Bolanos NPPES

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

JUDY BOLANOS (NPI 1629425384) is an individual clinical provider in New London, Connecticut, licensed in Connecticut (010448) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2016).

NPPES Registry Identity

NPI1629425384
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJUDY BOLANOS
Location Address21 MONTAUK AVENew London, CT 06320-4906
Mailing Address995 Day Hill RdWindsor, CT 06095-1722 · (860) 731-5522 · Fax (860) 731-5536
Phone(860) 439-6416
Fax(860) 390-1463
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2016
Enumeration DateMay 23, 2016
Last NPPES UpdateSeptember 12, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1629425384 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 CT · 010448
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.
21 MONTAUK AVE, New London, CT 06320
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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

Judy Bolanos 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 ID5991042665
PECOS Enrollment IDI20190204001839
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 2

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.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
50 services16 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
36 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 20

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

JODI SAMMARTINO LCSW
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 439-6400
CHERYL COTE M.S.W.
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 271-4700
MARGARET H CORNELL APRN
Clinical Nurse Specialist (Psychiatric/Mental Health, Geropsychiatric)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 271-4700
BETHANY GALLANT LPC
Counselor (Professional)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-0530
KATHLEEN GREGA LCSW
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 439-6400
CHRYSTAL ALINE CANOVA LCSW
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 439-6400
SARAH BOCHET
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 439-4700
DR. AMAN SYED DDS
Dentist (General Practice)
21 MONTAUK AVE, SUITE 102
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-9280

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 Judy Bolanos's NPI number?

The NPI number for Judy Bolanos is 1629425384. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Judy Bolanos located?

Judy Bolanos practices at 21 Montauk Ave, New London, CT 06320. The listed phone number is (860) 439-6416.

What is Judy Bolanos's specialty?

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

Is Judy Bolanos enrolled in Medicare?

Yes. Judy Bolanos 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 Judy Bolanos was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.