Jeralyn E. Bolanos, LCSW
NPI 1922586072ActiveIndividual· Social Worker, Clinical· Cerritos, CA
Social Worker, Clinical (LCSW) with Native American Mental Health Services Corporation, practicing in Cerritos, California. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1922586072 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jul 31, 2018 |
| Last updated in NPPES | Dec 7, 2023 |
| Certified by provider | Dec 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW118720 | CA |
| Counselor, Mental Health | 101YM0800X | 97310 | CA |
| Social Worker | 104100000X | ACSW97310 | CA |
| Social Worker, Clinical | 1041C0700X | ACSW97310 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 (CA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Native American Mental Health Services CorporationMonterey, CA · 65 clinicians
Other Social Worker, Clinical providers in Cerritos
- 1841155322
- 1962824649
- 1578763678
- 1811086911
- 1790332328
- 1881824324
- 1982770152
- 1073979936
- 1689057002
- 1962884973
- 1366522849
- 1932297173