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

Individual provider Social Worker · NPI 1487179172

Tracie Ann Bolen, LMSW is a Clinical Social Worker in Caldwell, Idaho. Qualified in 2017, 9 years ago. Practices with Emmett Counseling and Psychiatric Services LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2017
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

314 Badiola St
Caldwell, ID 83605-4389
Phone: (208) 454-8389
Fax: (208) 454-8404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LMSW-36749 (ID)

Record details

NPI number1487179172
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedAugust 3, 2017
Last updated in NPPESAugust 3, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Emmett Counseling And Psychiatric Services Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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