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

Judy Bolanos

Individual provider Clinical Social Worker · NPI 1629425384

Judy Bolanos is a Clinical Social Worker in New London, Connecticut. Graduated from University of Connecticut School of Medicine in 2016, 10 years ago. Practices with Sound Community Services Inc, a 9-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
10
Trained at
University of Connecticut School of Medicine
Licensed in
CT
In the registry since
2016
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Practice location Address checks out

21 Montauk Ave
New London, CT 06320-4906
Phone: (860) 439-6416
Fax: (860) 390-1463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 365 Montauk Ave, New London, CT 06320-4700 — (860) 443-3147

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 010448 (CT)

Record details

NPI number1629425384
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2016
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address995 Day Hill Rd, Windsor, CT 06095-1722

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Sound Community Services Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in New London