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MARY MAIIO BOLGAN
NPI 1699484410
Social Worker - Clinical in Louisville, KY

Active since November 21, 2022PECOS EnrolledAccepts Medicare Assignment
6801 DIXIE HWY STE 132, LOUISVILLE, KY 40258(502) 657-2701(502) 536-7991 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Jul 13, 2025, Nov 21, 2022 (3 updates tracked since 2022).

About Mary Maiio Bolgan NPPES

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

MARY MAIIO BOLGAN (NPI 1699484410) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (LCS00001464) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699484410
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY MAIIO BOLGAN
Location Address6801 DIXIE HWY STE 132Louisville, KY 40258-3952
Mailing Address6801 Dixie Hwy Ste 132Louisville, KY 40258-3952 · (502) 657-2701 · Fax (502) 536-7991
Phone(502) 657-2701
Fax(502) 536-7991
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 21, 2022
Last NPPES UpdateMay 18, 20263 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1699484410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in KY · LCS00001464✔ Licensed in NC · P018195
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-28380 (NC)
6801 DIXIE HWY STE 132, Louisville, KY 40258
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Other Identifiers 1

OtherP018195NC · Lcsw-a

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Mary Maiio Bolgan 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 ID42700163
PECOS Enrollment IDI20251106004623, I20260518002922
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 40258 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 $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 2

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

BRENDA JOHNSTON APRN
Nurse Practitioner (Family)
6801 DIXIE HWY STE 132
LOUISVILLE, KY 40258
Jefferson County (502) 657-2701
CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC
Internal Medicine (Addiction Medicine)
6801 DIXIE HWY STE 132
LOUISVILLE, KY 40258
Jefferson County (502) 657-2701

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 Mary Bolgan's NPI number?

The NPI number for Mary Bolgan is 1699484410. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Mary Bolgan located?

Mary Bolgan practices at 6801 Dixie Hwy Ste 132, Louisville, KY 40258. The listed phone number is (502) 657-2701.

What is Mary Bolgan's specialty?

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

Is Mary Bolgan enrolled in Medicare?

Yes. Mary Bolgan 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.

What insurance does Mary Bolgan accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Mary Bolgan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Bolgan was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.