DALTON J BOLEY (LCSW) – Clinical Social Worker, NPI 1003331968
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
965 CLINICAL SOCIAL WORKER in UT
Provider Addresses for DALTON J BOLEY (LCSW)
613 E FORT UNION BLVD STE 104
MIDVALE, UT 840475531
Phone: (801) 984-1717
Type: Mailing
150 S 400 E
AMERICAN FORK, UT 840032510
Phone: (801) 984-1717
Type: Location
750, Freedom Boulevard, North Park, Provo, Utah County, Utah, 84601, United States
PROVO, UT 846011677
Phone:
Type: Mailing
600 SUN TEMPLE DR
MADISON, AL 357588643
Phone: (256) 288-3333
Fax: (256) 288-3334
Type: Mailing
1800 BEVERLY AVE
MUSCLE SHOALS, AL 356613255
Phone: (256) 701-5651
Fax: (256) 429-9411
Type: Location
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: 2021-09-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210908000376 | I | Clinical Social Worker | AL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 32 | 11 | $0 |
Insurance plans in this area (ZIP 84047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| - | AL | |
| - | AL | |
| Clinical Social Worker | FL | |
| - | AL | |
| - | AL | |
| P S Y C H I A T R Y | FL | |
| - | AL | |
| Mental Health Counselor | AL | |
| - | MS |
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