DR. TERESA ANN BOLES LMSW, PH.D.
NPI 1861619603
Social Worker - Clinical in Detroit, MI
About Dr. Teresa Ann Boles Lmsw, Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TERESA ANN BOLES LMSW, PH.D. (NPI 1861619603) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801069263) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
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
Dr. Teresa Ann Boles Lmsw, Ph.d. 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 Teresa Boles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 81 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
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 Teresa Boles's NPI number?
The NPI number for Teresa Boles is 1861619603. It was assigned to this individual provider in the NPPES registry on April 20, 2007.
Where is Teresa Boles located?
Teresa Boles practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (248) 214-7248.
What is Teresa Boles's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Teresa Boles enrolled in Medicare?
Yes. Teresa Boles 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 Teresa Boles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Boles reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). 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 Teresa Boles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Teresa Boles accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Teresa Boles 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 Teresa Boles was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Teresa Ann Boles, LMSW, PH.D. · NPI 1861619603
Clinical provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since April 20, 2007.
## Identity
- **NPI:** 1861619603 (Entity type: Individual)
- **Enumerated:** April 20, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801069263 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2608
- **Phone:** (248) 214-7248 · **Fax:** (313) 916-1622
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Henry Ford Health System (NPI 1689732414, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** February 17, 2023
- **Other identifiers:** Other 6801069263 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1861619603) · Data from the CMS NPPES public registry.