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

Emily Bouldin, LCSW

Individual provider Social Worker · NPI 1255028601

Emily Bouldin, LCSW is a Social Worker in New York, New York. Licensed in Illinois and New York. Registered with an NPI since 2023.

Licensed in
IL, NY
In the registry since
2023
Specialties on file
2
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

462 1st Ave
New York, NY 10016-9196
Phone: (212) 562-4531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 11649401 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149031108 (IL)

Record details

NPI number1255028601
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 18, 2023
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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