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

Tammy M Bolles, LCSW

Individual provider Clinical Social Worker · NPI 1669980439

Tammy M Bolles, LCSW is a Clinical Social Worker in Chuluota, Florida. Qualified in 2013, 13 years ago. Practices with Doctor on Demand Professionals P C, a 127-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

1708 Old River Trl
Chuluota, FL 32766-3276
Phone: (305) 781-1682
Fax: (305) 781-1682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW13585 (FL)

Record details

NPI number1669980439
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 16, 2018
Last updated in NPPESJanuary 16, 2018
Mailing address1708 Old River Trl, Chuluota, FL 32766-8603

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Doctor On Demand Professionals P C — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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