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NPI Code Detail

MEDICARE: MRS. MADISON BOLAND ACSW

MEDICARE:  MRS. MADISON  BOLAND  ACSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCA

General Provider Information

NPI Number : 1194506030
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MADISON BOLAND ACSW
Provider Business Mailing Address
First Line : 2299 POST ST STE 102
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-3443
Country : US
Telephone Number : 415-562-0115
Fax Number :
Provider Business Practice Location Address
First Line : 2299 POST ST STE 102
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-3443
Country : US
Telephone Number : 415-562-0115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2023
Last Update Date : 06/26/2026

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Directions to “ MRS. MADISON BOLAND ACSW” Practice Location

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