Tracie Ann Bolen, LMSW
NPI 1487179172ActiveIndividual· Social Worker· Caldwell, ID
Social Worker (LMSW) with Emmett Counseling and Psychiatric Services LLC, practicing in Caldwell, Idaho. Medicare paid $6,965 for services to 13 patients in 2024.
Overview
| NPI | 1487179172 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | No |
| NPI issued | Aug 3, 2017 |
| Last updated in NPPES | Aug 3, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | LMSW-36749 | ID |
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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 133 across 6 procedure codes |
| Paid by Medicare | $6,965 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Emmett Counseling and Psychiatric Services LLCEmmett, ID · 4 clinicians
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