Izetta Briggs-Bolling, DSW, LCSW, LMHC, CAS
NPI 1265751382ActiveIndividual· Social Worker· Middletown, NY
Social Worker (DSW, LCSW, LMHC, CAS) with Access Supports for Living Inc, practicing in Middletown, New York. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1265751382 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DSW, LCSW, LMHC, CAS |
| Sole proprietor | Yes |
| NPI issued | May 28, 2010 |
| Last updated in NPPES | Feb 26, 2025 |
| Certified by provider | Feb 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 087722 | NY |
| Counselor, Mental Health | 101YM0800X | 003343 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Access Supports for Living IncNewburgh, NY · 42 clinicians
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