ELIZABETH JANE BOLT (NPI# 1528128238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528128238 |
| Entity Type | Individual |
| Full Name | ELIZABETH JANE BOLT |
| Credential | LCSW |
| Practice Address |
Southeastern Mental Health Authority 401 W Thames St Bldg 301 Norwich CT 06380 |
| Practice Telephone | 8608594674 |
| Practice Fax Number | 8608594790 |
| Mailing Telephone | 8608594674 |
| Mailing Fax Number | 8608594790 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 003387 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952867459 | Elizabeth Bolt | Psychologist | 2700 E Princess Anne Rd, Norfolk, VA 23504-3139 | 2019-02-20 |
| 1780076109 | Elizabeth Bolt | Counselor | 43 Sutton St, Apartment B, Northbridge, MA 01534-1081 | 2015-02-23 |
| Street Address |
SOUTHEASTERN MENTAL HEALTH AUTHORITY 401 W THAMES ST BLDG 301 |
| City | NORWICH |
| State | CT |
| Zip Code | 06380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942638671 | Vernon Moore | Social Worker | 7.5 North Third Ave, Taftville, CT 06380 | 2013-10-15 |
| 1174756597 | Joshua T Robinson | Specialist/Technologist | 70 Jewett City Rd, Taftville, CT 06380-1246 | 2009-09-02 |
| 1689188856 | Alexandria Munoz | Specialist/Technologist | 70 Jewett City Rd, Taftville, CT 06380-1246 | 2017-11-27 |
| 1427238625 | Stephanie Ann Lipka | Counselor | 134 S 2nd Ave, Taftville, CT 06380-1311 | 2007-11-06 |
| 1346737640 | Kevin Machi | Pharmacist | 3 N 2nd Ave, Taftville, CT 06380-1407 | 2018-04-23 |
| 1457683955 | Mozden Family Optical LLC | Durable Medical Equipment & Medical Supplies | 11 N 2nd Ave, Taftville, CT 06380-1407 | 2010-02-08 |
| 1902421050 | Trcp LLC | Pharmacy | 3 N 2nd Ave, Taftville, CT 06380-1407 | 2020-06-15 |
| 1639651037 | Trcp LLC | Pharmacy | 3 N 2nd Ave, Taftville, CT 06380-1407 | 2018-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1043818933 | Karen Marie Ryan Antley | Registered Nurse | 6678 County Route 32, Norwich, NY 13815-1381 | 2020-10-13 |
| 1780291963 | Cheryl C Jones | Massage Therapist | 15 Sylvia Ln, Norwich, CT 06360-2147 | 2020-09-30 |
| 1467061440 | Stephanie Miles | Registered Nurse | 11 Wawecus St, Norwich, CT 06360-2161 | 2020-07-27 |
| 1447878855 | Ashley Elusma | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-07-13 |
| 1457973810 | Melissa Agnelli Rondeau | Social Worker | 77 Gifford St, Norwich, CT 06360-4041 | 2020-05-08 |
| 1396366464 | Heather Ann Brisson | Social Worker | 65 Otrobando Ave, Norwich, CT 06360-2218 | 2020-04-30 |
| 1114547338 | Kathleen Elizabeth Cote | Counselor | 14 Julian St, Norwich, CT 06360-2704 | 2020-04-17 |
| 1871113100 | Samantha Lovell-deochan | Counselor | 247 Palmer Street Ext, Norwich, CT 06360-4832 | 2020-04-16 |
| 1518593896 | Archer Dental Plc | Dentist | 303 Us Route 5 South, Norwich, VT 05055 | 2020-03-18 |
| Find all providers in NORWICH | ||||
| 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 |
|---|---|---|---|---|
| 1497304752 | Amanda Butler | Social Worker | Chenango County Community Mental Hygiene Services, 5 Court Street, Suite 42 County Office Building, Norwich, NY 13815 | 2019-09-10 |
| 1235793548 | Kay Marie Drebert | Social Worker | Chenango County Community Mental Hygiene Services - Cou, Suite 42, Norwich, NY 13815 | 2019-04-23 |
| 1497230460 | Jessica Lynn Elliott | Social Worker | 5 Court Street, St 42, Chenango County Behavioral Health Services, County Offi, Norwich, NY 13815 | 2018-09-26 |
| 1013367341 | Irina Gordeyeva | Social Worker | 5 Court Street Suite 42, Chenango County Behavioral Health Services, Norwich, NY 13815 | 2016-06-17 |
| 1104162122 | Shane Murphy | Social Worker | 18 Oneco St Ste 3, Norwich, CT 06360-3440 | 2012-12-19 |
| 1639306285 | Tessa Elizabeth Stacy | Social Worker | 5 Court St., Suite 42, Norwich, NY 13815 | 2009-06-22 |
| 1336383058 | Dawn Corrine Wyant-smith | Social Worker | 5 Court St Suite 42, Norwich, NY 13815 | 2009-04-24 |
| 1134397367 | Justyna St Onge | Social Worker | 165 Golden St, Norwich, CT 06360-3946 | 2008-02-11 |
| 1578571584 | Crystal Marie Howard-arlia | Social Worker | 35 Gifford St, Norwich, CT 06360 | 2006-08-04 |
| 1730791625 | Penelope Praylow-kyles | Social Worker | 77 E Town St, Norwich, CT 06360-2338 | 2020-08-20 |
| Find all providers in NORWICH | ||||
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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.