Katherine Ann Bolton, LCSW, CADC is a
Social Worker - Clinical based in Chicago, Illinois. Katherine Ann Bolton is licensed to practice in Illinois (license number 149.024683) and her current practice location is
2108 W Ainslie St Apt 2e, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 354-0253.
NPI number for Katherine Ann Bolton is 1831896224 and her current mailing address is 2108 W Ainslie St Apt 2e, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831896224.
Healthcare Provider's Profile
Full Name | Katherine Ann Bolton |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2108 W Ainslie St Apt 2e, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831896224
- Provider Enumeration Date: 02/15/2023
- Last Update Date: 02/15/2023
Medical Identifiers
Medical identifiers for Katherine Ann Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831896224 | NPI | - | NPPES |
150.014547 | Other | IL | LICENSED SOCIAL WORKER |
149.024683 | Other | IL | LICENSED CLINICAL SOCIAL WORKER |
35128 | Other | IL | CADC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 35128 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.024683 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Ann Bolton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katherine Ann Bolton, LCSW, CADC 2108 W Ainslie St Apt 2e, Chicago, IL 60625-1325 Ph: (312) 354-0253 | Katherine Ann Bolton, LCSW, CADC 2108 W Ainslie St Apt 2e, Chicago, IL 60625-1325 Ph: (312) 354-0253 |
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