Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARIO BOLIVAR JR., LCSW
Active Sole ProprietorMR. MARIO BOLIVAR JR., LCSW is a Clinical Social Worker healthcare provider located in DALLAS, Georgia. NPI 1639304934 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · DALLAS, GA
Registration Details
- NPI Number
- 1639304934
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2009 (17.066285257387 yrs)
- Last Updated
- May 15, 2009
- Licenses
-
1214 (OR)3071 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 CREEKSIDE DRDALLAS, GA, 301577370Browse GA providers · Browse ZIP 30157
- Phone
- 6782371269
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in DALLAS, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. JESSICA LYN FRANCIS | LCSW | 1093951410 |
| MS. SIPHIWE NHLIZIYO | LCSW | 1861722407 |
| CAMEISHA AILEAN MERRIWEATHER | LCSW | 1922317767 |
| MS. VIVIENNE JOYE PATTERSON | LMSW | 1013295104 |
| JULIET IHEDIKE | LCSW | 1962768572 |
| MRS. DANETTE MARIE HILL | LCSW | 1386987733 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.