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

Individual provider Clinical Social Worker · NPI 1437461985

Lara Jean Bolsom, LCSW is a Clinical Social Worker in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
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

6143 186th St
Fresh Meadows, NY 11365-2710
Phone: (347) 921-4019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 084269-1 (NY)

Record details

NPI number1437461985
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 12, 2010
Last updated in NPPESMarch 1, 2017

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