KIRSTEN W BOLTON (LICSW) – Clinical Social Worker, NPI 1033304233

KIRSTEN W BOLTON (LICSW) is a healthcare provider. based in Belmont, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 116529 (MA). The NPI Number for KIRSTEN W BOLTON (LICSW) is 1033304233

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
KIRSTEN W BOLTON (LICSW)
NPI
1033304233
Phone
(617) 855-4194
Address
115 MILL ST
Enumeration Date
11 September 2007
Last Update Date
28 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6178553450
Graduation Year
2009 (17 years ago)
PAC ID
8921254731
Group Practice PAC ID
9436040961
Professional Enrollment ID
I20120810000214
Address ID
MA024781064BE115XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for KIRSTEN W BOLTON (LICSW)

  • McLean Hospital, 115, Mill Street, Kendall Gardens, Belmont, Middlesex County, Massachusetts, 02478, United States

    BELMONT, MA 024781064

    Phone: (617) 855-4194

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120810000214IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02478)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436040961View full group profile
NameSpecialtyState
-MA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical Social WorkerMA
-MA
Psychiatry, Geriatric PsychiatryMA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical PsychologistRI
-MA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KIRSTEN W BOLTON (LICSW)?
KIRSTEN W BOLTON (LICSW) — NPI 1033304233 — is the standard way to identify this listing.
Does the file indicate KIRSTEN W BOLTON (LICSW) is practicing under active NPI?
Directory data currently reports KIRSTEN W BOLTON (LICSW) as active.
What taxonomy line describes KIRSTEN W BOLTON (LICSW)?
For research purposes, treat KIRSTEN W BOLTON (LICSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What area does KIRSTEN W BOLTON (LICSW) serve?
KIRSTEN W BOLTON (LICSW)'s listing highlights Belmont, Massachusetts; more addresses can appear in NPPES.
Is the information about KIRSTEN W BOLTON (LICSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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