Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carl Ann Rei P. Bolano, LCSW

Individual provider Mental Health Counselor · NPI 1053926626

Carl Ann Rei P. Bolano, LCSW is a Clinical Social Worker in Los Angeles, California. Qualified in 2021, 5 years ago. Practices with Special Service for Groups Inc, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

520 S La Fayette Park Pl Fl 3
Los Angeles, CA 90057-1607
Phone: (213) 252-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 S Grand Ave Ste 600, Los Angeles, CA 90015-3068 — (213) 742-6250

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW129353 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ACSW104971 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1053926626
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Special Service For Groups Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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