Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sasha Venyke Bouldin, LCSW-A

Individual provider Clinical Social Worker · NPI 1831571991

Sasha Venyke Bouldin, LCSW-A is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2014, 12 years ago. Practices with Avance Care PA, a 244-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2015
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Practice location Address checks out

3000 Highwoods Blvd Ste 301
Raleigh, NC 27604-1029
Phone: (919) 610-6284
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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 P008998 (NC)

Record details

NPI number1831571991
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-A
Sole proprietorNo
NPI enumeratedJune 25, 2015
Last updated in NPPESJune 25, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Avance Care Pa — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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