SHERYL L BOLIN LCSW
NPI 1689742470
Social Worker - Clinical in Highland, IN

NPI Status: Active since December 01, 2006

Contact Information

2600 HIGHWAY AVE.
HIGHLAND, IN
ZIP 46322
Phone: (219) 972-0131
Fax: (219) 972-9104

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  • Individual
  • Female
  • Years of Experience 33
  • Social Worker
  • Clinical
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About SHERYL BOLIN

Sheryl Bolin is a provider established in Highland, Indiana and her medical specialization is Social Worker with a focus in clinical with more than 33 years of experience. The healthcare provider is registered in the NPI registry with number 1689742470 assigned on December 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 34003146A (IN). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1689742470
Provider Name
SHERYL L BOLIN LCSW
Other Name
SHERYL L STAPINSKI LCSW
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2600 HIGHWAY AVE. HIGHLAND, IN 46322
Location Phone
(219) 972-0131
Location Fax
(219) 972-9104
Mailing Address
8400 LOUISIANA ST. MERRILLVILLE, IN 46410
Mailing Phone
(219) 757-1928
Mailing Fax
(219) 972-9104
Medical School Name
OTHER
Graduation Year
1991
Is Sole Proprietor?
Yes
Enumeration Date
12-01-2006
Last Update Date
11-04-2011
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A clinical social worker like Sheryl Bolin is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Sheryl Bolin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
34003146A
License State
IN
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Bronze 1 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 - HMO
    • Bronze 4 PPO: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care - PPO
    • Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Bronze S PPO: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care - PPO
    • Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold 3 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Gold 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold S PPO: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care - PPO
    • Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Pathway Essentials 4500 (3 $0 PCP Visits + $0 Virtual PCP + $0 Select Drugs) - HMO
    • Anthem Bronze Pathway Essentials 5500 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) - HMO
    • Anthem Bronze Pathway Essentials 6500 HSA - HMO
    • Anthem Bronze Pathway Essentials 7500 Standard - HMO
    • Anthem Bronze Pathway Essentials 9450 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) - HMO
    • Anthem Bronze Pathway Essentials POS 5000 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) - POS
    • Anthem Bronze Pathway Essentials POS 7500 Standard - POS
    • Anthem Gold Pathway Essentials 1500 Standard - HMO
    • Anthem Gold Pathway Essentials 2700 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) - HMO
    • Anthem Silver Pathway Essentials 3000 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) - HMO
  • CareSource

    • CareSource Marketplace Bronze First - HMO
    • CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Gold - HMO
    • CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Silver - HMO
    • CareSource Marketplace Core Silver Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Gold - HMO
    • CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Silver - HMO
    • CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness - HMO
  • Cigna Healthcare

    • Connect Bronze 0 Indiv Med Deductible - EPO
    • Connect Bronze 3500 Indiv Med Deductible - EPO
    • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
    • Connect Gold 500 Indiv Med Deductible - EPO
    • Connect Gold CMS Standard - EPO
    • Connect Silver 3000 Indiv Med Deductible - EPO
    • Connect Silver 4000 Indiv Med Deductible Enhanced Diabetes Care - EPO
    • Connect Silver 7000 Indiv Med Deductible - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
M400041760MEDICARE PIN (08)IN 

PECOS Enrollment and Medicare Participation Status

Sheryl Bolin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8123202652

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110407000648

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 243

    Psychotherapy, 45 minutes (HCPCS:90834)

  • 69

    Psychotherapy, 30 minutes (HCPCS:90832)

Reviews for SHERYL L BOLIN LCSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689742470
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691444414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 4 + 4 + 4 + 4 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1689742470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689742470, enumerated in the NPI registry as an "individual" on December 01, 2006

The provider is located at 2600 Highway Ave. Highland, In 46322 and the phone number is (219) 972-0131

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider has more than 33 years of experience.

The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

The most common procedures or services performed by this practitioner are: Psychotherapy, 45 minutes and Psychotherapy, 30 minutes.

This NPI record was last updated on December 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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