MR. MARIO JR. BOLIVAR (LCSW) – Clinical Social Worker, NPI 1639304934

MR. MARIO JR. BOLIVAR (LCSW) is a healthcare provider. based in Dallas, Georgia. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 1214 (OR). The NPI Number for MR. MARIO JR. BOLIVAR (LCSW) is 1639304934

Main info

Male
Sole Proprietor
Name
MR. MARIO JR. BOLIVAR (LCSW)
NPI
1639304934
Phone
(678) 237-1269
Address
112 CREEKSIDE DR
Enumeration Date
15 May 2009
Last Update Date
15 May 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

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Provider Addresses for MR. MARIO JR. BOLIVAR (LCSW)

  • 112, Creekside Drive, Creekside, New Hope, Sunnyvale, Dallas County, Texas, 75182, United States

    DALLAS, GA 301577370

    Phone: (678) 237-1269

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 30157)

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Reviews

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Frequently asked questions

What number should I use to identify MR. MARIO JR. BOLIVAR (LCSW) for billing?
Administrative and clinical systems typically use NPI 1639304934 for MR. MARIO JR. BOLIVAR (LCSW).
Should I treat MR. MARIO JR. BOLIVAR (LCSW) as an active provider?
Patients and plans typically see MR. MARIO JR. BOLIVAR (LCSW) as active in the national extract.
How should patients interpret MR. MARIO JR. BOLIVAR (LCSW)'s specialty?
The extract shows Clinical Social Worker for MR. MARIO JR. BOLIVAR (LCSW). Clinical services aligned with this taxonomy classification.
Is MR. MARIO JR. BOLIVAR (LCSW) tied to Dallas, Georgia?
If you are local to Dallas, Georgia, MR. MARIO JR. BOLIVAR (LCSW) may be relevant to your search.
Can I export MR. MARIO JR. BOLIVAR (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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