JAMES RANDALL BOLTON (NPI# 1053452243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053452243 |
| Entity Type | Individual |
| Full Name | JAMES RANDALL BOLTON |
| Credential | LISW |
| Practice Address |
1441 W Central Park Ave Davenport IA 52804-1707 |
| Practice Telephone | 5638886275 |
| Practice Fax Number | 5638844638 |
| Mailing Telephone | 5638886275 |
| Mailing Fax Number | 5638844638 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
00037 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790017564 | James Bolton | Chiropractor | 2801 Ward Blvd, Ste 7a, Wilson, NC 27893-1752 | 2010-02-04 |
| 1487644050 | James P Bolton | Obstetrics & Gynecology | 1751 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-7177 | 2005-10-25 |
| 1477559649 | James Wade Bolton | Chiropractor | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2005-06-22 |
| 1861848392 | James Aaron Bolton | Family Medicine | 521 East Ave, Lockport, NY 14094-3201 | 2016-05-13 |
| 1598059313 | James William Bolton IIi | Dentist | 300 Piney Forest Rd, Danville, VA 24540 | 2011-06-09 |
| 1932132602 | James Michael Bolton | Social Worker | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2006-07-08 |
| 1699725457 | James Scott Bolton | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2006-05-11 |
| 1871577858 | James B Bolton | Family Medicine | 5230 E Stop 11 Rd, Suite 250, Indianapolis, IN 46237-6398 | 2005-12-02 |
| Street Address |
1441 W CENTRAL PARK AVE |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52804-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991340 | Ghada Hamdan-allen | Psychiatry & Neurology | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2005-08-31 |
| 1528665494 | Samantha Marie Adams | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2020-10-05 |
| 1174176093 | Carol Ann Chukwuka | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2019-07-19 |
| 1457914657 | Seema Antony | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2019-04-15 |
| 1255891743 | Stephanie Nuss | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2019-03-21 |
| 1518437789 | Melissa Ann Hummel | Counselor | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-11-30 |
| 1649746868 | Lindsey M Mack | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-10-15 |
| 1861970717 | Mandy Moody | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-08-02 |
| 1285112136 | Kaitlyn Dwyer | Counselor | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-08-02 |
| 1891272373 | Ashley Rosas | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948467 | Tess Nelson | Physical Medicine & Rehabilitation | 2535 Maplecrest Rd Suite 23, Bettendorf, IA 52804 | 2017-12-26 |
| 1124494380 | Erica Lauren Hempel Bucy | Social Worker | 1333 W. Lombard St. Ste C, Davenport, IA 52804 | 2015-08-11 |
| 1477859890 | Kristin L West | Registered Nurse | 1441 W. Centrral Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 | 2011-02-02 |
| 1679877625 | Linda Marie Crownover-inch | Doula | 1420 W 16th Street, #412, Davenport, IA 52804 | 2011-01-05 |
| 1124169032 | Lawrence R Huber | Dentist | 2305 Jersey Ridge Rd, Davenport, IA 52804 | 2007-02-12 |
| 1669532388 | Providence Therapy Services LLC | Physical Therapist | 21037 Holden Drive, Davenport, IA 52804 | 2006-12-11 |
| 1639183171 | Megan Denise Long | Occupational Therapist | 31037 Holden Dr, Davenport, IA 52804 | 2006-07-28 |
| 1811919772 | Theresa L Schlabach | Occupational Therapist | 21037 Holden Dr, Davenport, IA 52804 | 2006-07-23 |
| 1225097843 | William M Nissen | Psychiatry & Neurology | 1441 W Central Park, Davenport, IA 52804 | 2006-03-22 |
| 1245721851 | Mackenzie J Banwart | Physical Therapist | 1700 N Division St Ste 200, Davenport, IA 52804 | 2018-05-21 |
| Find all providers in zip 52804 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070777 | Carlie Shannon | Social Worker | 736 Federal St., Ste. 1-103, Davenport, IA 52803-5768 | 2020-10-12 |
| 1154945756 | Stephanie Kay Marie Dorton | Social Worker | 2611 W 35th St, Davenport, IA 52806-5222 | 2020-05-31 |
| 1104473321 | Lisa Beatrice Meotti | Social Worker | 439 Chelsea Ave, Davenport, FL 33837-8911 | 2019-08-22 |
| 1295201754 | Lifeskills Connection Inc. | Social Worker | 2800 Eastern Ave Bldg G, Davenport, IA 52803-2012 | 2018-10-22 |
| 1093201444 | Revolution Counseling Services LLC | Social Worker | 601 Brady St Ste 204, Davenport, IA 52803-5251 | 2018-07-09 |
| 1487027405 | Steven Albert Sylvia | Social Worker | 406 Thousand Oaks Blvd, Davenport, FL 33896-8125 | 2015-11-13 |
| 1558777680 | Compassion Therapy Services, LLC | Social Worker | 3475 Jersey Ridge Rd Ste 2, Davenport, IA 52807-2293 | 2014-07-09 |
| 1881024875 | Alexander Nathan Hogg | Social Worker | 1312 Esplanade Ave, Davenport, IA 52803-4156 | 2013-11-12 |
| 1407119548 | Tamara Whiteman Haberman | Social Worker | 321 Boxwood Dr, Davenport, FL 33837-5501 | 2012-06-22 |
| 1326313289 | Jennifer Noto | Social Worker | 2064 Sherbrook Ave, Davenport, FL 33837-4401 | 2012-03-12 |
| Find all providers in DAVENPORT | ||||
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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.