MRS. P'SHANA QUOTI BOLDEN LCSW - NPI 1790084044

Q: What is P'shana Bolden's NPI number?

The NPI number for P'shana Bolden is 1790084044. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Q: What is P'shana Bolden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for P'shana Bolden was last updated on June 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. P'shana Quoti Bolden Lcsw NPPES

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

MRS. P'SHANA QUOTI BOLDEN LCSW (NPI 1790084044) is an individual clinical provider in Oakland, California, licensed in California (62906) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fairfield.

NPPES Registry Identity

NPI1790084044

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. P'SHANA QUOTI BOLDENCredential: LCSW

Location Address1450 FRUITVALE AVEOakland, CA 94601-2313

Mailing Address848 Fan Palm LnBrentwood, CA 94513-5680 · (909) 730-4592

Phone(510) 434-2001

Sole ProprietorNo

Enumeration DateMarch 24, 2011

Last NPPES UpdateJune 25, 20212 updates tracked since enumeration

NPPES CertifiedJune 25, 2021

✔ NPI 1790084044 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 CA · 62906

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.

1450 FRUITVALE AVE, Oakland, CA 94601

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Secondary Practice Location 1

Location 12101 Courage DrFairfield, CA 94533 · Phone (707) 428-1131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. P'shana Quoti Bolden Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94601 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 $69.00 – $202.35

Typical copayment $0.00 (range $17.25 – $50.58)

Most-billed visit code NA

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.