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

Thomas S Bolan, LCSW, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770703431

Thomas S Bolan, LCSW, CSAC is a Clinical Social Worker in Middleton, Wisconsin. Qualified in 2010, 16 years ago. Practices with Mercy Health System Corporation, a 751-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2007
Specialties on file
3
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

3207 Laura Ln Ste 100
Middleton, WI 53562-1428
Phone: (608) 290-0956
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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 8420-123 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15382-132 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 8420-123 (WI)

Record details

NPI number1770703431
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CSAC
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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