CONNIE J BOLTZ MSW NPI 1700816063

NPI Information

NPI: 1700816063
Provider Name: CONNIE J BOLTZ, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
600 MONUMENT ST
SUITE 224
GREENWOOD, SC
ZIP 29646
Phone: (864) 227-3908
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Connie J Boltz, MSW is a mental health counselor in Greenwood, SC. Connie J Boltz, MSW NPI is 1700816063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 MONUMENT ST
SUITE 224
GREENWOOD, SC
ZIP 29646-638
Phone: (864) 227-3908
Fax: (864) 227-2668

The enumeration date for this NPI number is 7/3/2006 and was last updated on 12/3/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	6275	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q31970	MEDICARE UPIN	SOUTH CAROLINA
2	5654	MEDICARE PIN	SOUTH CAROLINA
3	QM0429	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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