MS. KEIRYAN ASHLEIGH BOLLING LCSW-C
NPI 1629427307
Social Worker in Elkridge, MD
About Ms. Keiryan Ashleigh Bolling Lcsw-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KEIRYAN ASHLEIGH BOLLING LCSW-C (NPI 1629427307) is an individual social worker in Elkridge, Maryland, licensed in Maryland (21778) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Keiryan Ashleigh Bolling Lcsw-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Keiryan Bolling reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21214
- Reassigned Medicare billing, Maryland enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Keiryan Bolling's NPI number?
The NPI number for Keiryan Bolling is 1629427307. It was assigned to this individual provider in the NPPES registry on June 3, 2016.
Where is Keiryan Bolling located?
Keiryan Bolling practices at 6170 Hunt Club Rd, Elkridge, MD 21075. The listed phone number is (443) 328-3088.
What is Keiryan Bolling's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Keiryan Bolling enrolled in Medicare?
Yes. Keiryan Bolling 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.
Which organization bills Medicare for Keiryan Bolling's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keiryan Bolling reassigns Medicare benefits to Restoration Of Wellness (Baltimore, MD). The 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 Keiryan Bolling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keiryan Bolling was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Keiryan Ashleigh Bolling, LCSW-C · NPI 1629427307
Social Worker provider in Elkridge, Maryland. Individual provider, active in the CMS NPPES registry since June 3, 2016.
## Identity
- **NPI:** 1629427307 (Entity type: Individual)
- **Enumerated:** June 3, 2016
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 21778 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6170 HUNT CLUB RD, Elkridge, MD 21075-5518
- **Phone:** (443) 328-3088
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Restoration Of Wellness (NPI 1487254272, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1629427307) · Data from the CMS NPPES public registry.