MRS. AUDREY IRENE BOLTZ (NPI# 1033366695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033366695 |
| Entity Type | Individual |
| Full Name | MRS. AUDREY IRENE BOLTZ |
| Credential | MSW, LSW |
| Practice Address |
3030 Chestnut St Lebanon PA 17042-2518 |
| Practice Telephone | 7172738000 |
| Practice Fax Number | 7172738244 |
| Mailing Telephone | 7172738000 |
| Mailing Fax Number | 7172738244 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | SW011017L | PA | Behavioral Health & Social Service Providers |
| Street Address |
3030 CHESTNUT ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619086238 | Debra Ann Haag | Registered Nurse | 3030 Chestnut St, Lebanon, PA 17042-2518 | 2006-08-29 |
| 1962002857 | Debra Ann Harner | Licensed Practical Nurse | 3030 Chestnut St, Lebanon, PA 17042-2518 | 2020-10-29 |
| 1528679073 | Maurice Thomas Byes | Counselor | 3030 Chestnut St, Lebanon, PA 17042-2518 | 2020-08-10 |
| 1144831694 | Brian F Lacey | Counselor | 3030 Chestnut St, Lebanon, PA 17042-2518 | 2020-08-10 |
| 1336750892 | Britny Kelly | Counselor | 3030 Chestnut St, Lebanon, PA 17042-2518 | 2020-08-10 |
| 1427669902 | Lois Evelyn Taulbee | Licensed Practical Nurse | 3030 Chestnut St, Lebanon, PA 17042-2518 | 2020-08-10 |
| 1992315949 | Latoya Liz Sanchez | Counselor | 3030 Chestnut St, Lebanon, PA 17042-2518 | 2020-08-05 |
| 1801406855 | Joy Eckert | Counselor | 3030 Chestnut St, Lebanon, PA 17042-2518 | 2020-08-05 |
| 1710597760 | Monica Ann Yuzon | Counselor | 3030 Chestnut St, Lebanon, PA 17042-2518 | 2020-08-05 |
| 1033729181 | Daniel Bernard Enimpah | Licensed Practical Nurse | 3030 Chestnut St, Lebanon, PA 17042-2518 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948624 | Hannah Elizabeth Rolf | Social Worker | 713 Holbrook Ave Apt A, Lebanon, OH 45036-2094 | 2017-12-21 |
| 1285176032 | Leah Michelle Sandlin | Social Worker | 218 S Mechanic St, Lebanon, OH 45036-2212 | 2016-11-10 |
| 1275902686 | Robbie Hayter | Social Worker | 3317 Franklin Rd, Lebanon, TN 37090-8065 | 2015-09-16 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1053721522 | Kimberly Dawn Sellers | Social Worker | 212 N Broadway St, Suite 7, Lebanon, OH 45036-2736 | 2014-05-05 |
| 1760821276 | Whitney Renee Rojas | Social Worker | 125 Lakeshore Dr., Lebanon, IN 46052-3100 | 2013-06-18 |
| 1609147610 | Abbey Endicott | Social Worker | 387 Locust Forge Ln, Lebanon, OH 45036-7604 | 2012-01-23 |
| 1306120480 | Melissa Kay Molter | Social Worker | 727 W Washington St, Lebanon, IN 46052-2064 | 2011-10-06 |
| 1861650798 | Whitney T Brown | Social Worker | 1614 N Lebanon St Ste 2, Lebanon, IN 46052-1514 | 2008-05-28 |
| 1447417134 | Nikki K Barnes | Social Worker | 515 W Camp St, Lebanon, IN 46052-1648 | 2008-05-20 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.