RICHARD BOLLIG (NPI# 1114365541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114365541 |
| Entity Type | Individual |
| Full Name | RICHARD BOLLIG |
| Credential | LSCSW, LCSW |
| Practice Address |
7405 Renner Rd Shawnee KS 66217-9414 |
| Mailing Address |
7405 Renner Rd Ku Medwest Shawnee KS 66217-9414 |
| Practice Telephone | 9135883581 |
| Practice Fax Number | 9135888529 |
| Mailing Telephone | 9135883581 |
| Mailing Fax Number | 9135888529 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0854 | KS | Behavioral Health & Social Service Providers |
| Street Address |
7405 RENNER RD |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66217-9414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971082 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2005-06-13 |
| 1164037925 | Kailey Spero | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2020-09-09 |
| 1801435052 | Rebecca Elizabeth Holt | Family Medicine | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2020-01-04 |
| 1407322860 | Taylor Conrad | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2018-10-23 |
| 1639667041 | Dayna Grace Campbell | Nurse Practitioner | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2018-05-01 |
| 1528572286 | Mary Therese Sydzyik | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2017-11-16 |
| 1306376892 | Emily Marie O'laughlin | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2017-06-15 |
| 1851848352 | Jenna Koepke | Nurse Practitioner | 7405 Renner Rd, Shawnee, KS 66217 | 2016-09-01 |
| 1164870093 | Traci Smiley | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2016-06-01 |
| 1255709580 | Madison Dahl | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2015-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438801 | Hope Bazille | Behavioral Analyst | 17210 Midland Dr, Shawnee, KS 66217 | 2019-03-29 |
| 1023574126 | Andrea Corrales | Behavioral Analyst | 17210 Midland Drive, Shawnee, KS 66217 | 2019-02-13 |
| 1164824744 | Amy M Brettman | Internal Medicine | 7230 Renner Road, Shawnee, KS 66217 | 2014-09-25 |
| 1811232622 | U.S. Pt Therapy Services Inc. | Physical Therapist | 7448 West Frontage Road, Merriam, KS 66217 | 2012-12-05 |
| 1508179193 | Capstone Dentistry, LLC | Clinic/Center | 17212 Midland Dr, Shawnee, KS 66217 | 2010-07-23 |
| 1417014010 | Jo Jeanne Callaway | Psychiatry & Neurology | 5400 Lackman Road, Shawnee, KS 66217 | 2007-01-02 |
| 1316009111 | Eye Associates of Shawnee Pa | Optometrist | 15951 W 65th St, Shawnee, KS 66217 | 2006-12-15 |
| 1255492633 | Stephanie Lynn Caldwell | Physician Assistant | 7405 Renner Road, Shawnee, KS 66217 | 2006-12-12 |
| 1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
| 1790719276 | Minnie J Baldridge | Audiologist | 15939 W 65th St, Shawnee, KS 66217 | 2006-07-10 |
| Find all providers in zip 66217 | ||||
| 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 |
|---|---|---|---|---|
| 1598363665 | Tina M Clark | Social Worker | 7150 Millbrook St, Shawnee, KS 66218-9235 | 2020-10-12 |
| 1326079989 | Shirley Ann Dawson | Social Worker | 126 N Bell Ave, Shawnee, OK 74801-6902 | 2006-07-05 |
| 1881686103 | June Kay Groth | Social Worker | 6342 Long St, Ste A, Shawnee, KS 66216-2560 | 2005-08-22 |
| 1326600982 | Melissa R Elder | Social Worker | 130 N Broadway Ave Ste 300, Shawnee, OK 74801-6939 | 2019-07-03 |
| 1871088112 | Alyssa Mary Jane Cozad | Social Worker | 905 E Wilson St, Shawnee, OK 74804-4165 | 2018-06-28 |
| 1083130025 | Rhaeanna Corinne Casteel | Social Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2017-08-22 |
| 1154873552 | Steven James Randolph Lcsw-acsw | Social Worker | 23 E 9th St, Ste 321, Shawnee, OK 74801-6943 | 2016-11-01 |
| 1902353790 | Elizabeth Hicks | Social Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2016-09-08 |
| 1083016968 | Linda Johns | Social Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2014-09-22 |
| 1902158058 | Davod Andrew Nematpour | Social Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2012-10-12 |
| Find all providers in SHAWNEE | ||||
Please comment or provide details below to improve the information on RICHARD BOLLIG.
| 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.