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ADA DIALLO-BOLLY
NPI 1639683899
Social Worker - Clinical in New York, NY

Active since November 27, 2017PECOS Enrolled
1752 PARK AVENUE NY, NY 10035, NEW YORK, NY 10035(646) 686-1956 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2025, Nov 27, 2017 (2 updates tracked since 2017).

About Ada Diallo-bolly NPPES

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

ADA DIALLO-BOLLY (NPI 1639683899) is an individual clinical provider in New York, New York, licensed in New York (099699) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639683899
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameADA DIALLO-BOLLY
Location Address1752 PARK AVENUE NY, NY 10035New York, NY 10035
Mailing Address1752 Park Avenue Ny, Ny 10035New York, NY 10035 · (646) 686-1956
Phone(646) 686-1956
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 27, 2017
Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1639683899 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 NY · 099699
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.
1752 PARK AVENUE NY, NY 10035, New York, NY 10035
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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 (PECOS)

Ada Diallo-bolly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284194275
PECOS Enrollment IDI20260909003434
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 10035 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 $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Ada Diallo-bolly's NPI number?

The NPI number for Ada Diallo-bolly is 1639683899. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Where is Ada Diallo-bolly located?

Ada Diallo-bolly practices at 1752 Park Avenue Ny, Ny 10035, New York, NY 10035. The listed phone number is (646) 686-1956.

What is Ada Diallo-bolly's specialty?

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

Is Ada Diallo-bolly enrolled in Medicare?

Yes. Ada Diallo-bolly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ada Diallo-bolly was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.