Simone Kendall Bolden, LCSW in Schererville, IN - Medicare Clinical Social Worker Provider

Simone Kendall Bolden, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Schererville, Indiana. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Total Life Inc and her current practice location is 1153 Auburn Meadow Ln, Schererville, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 477-9807.

Simone Kendall Bolden is licensed to practice in California (license number 119778) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023608825.

Contact Information

	Simone Kendall Bolden, LCSW
	1153 Auburn Meadow Ln, Schererville, IN 46375-1381
	(219) 477-9807
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Simone Kendall Bolden
Gender	Female
Speciality	Clinical Social Worker
Experience	9 Years
Location	1153 Auburn Meadow Ln, Schererville, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Simone Kendall Bolden graduated from medical school in 2017

NPI Data:

NPI Number: 1023608825
Provider Enumeration Date: 01/25/2021
Last Update Date: 06/08/2026

Medicare PECOS Information:

PECOS PAC ID: 9234545336
Enrollment ID: I20210316001542

Medical Identifiers

Medical identifiers for Simone Kendall Bolden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023608825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34009011A (Indiana)	Secondary
1041C0700X	Social Worker - Clinical	119778 (California)	Primary
1041C0700X	Social Worker - Clinical	149023938 (Illinois)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Total Life Inc	8123433034	113

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Simone Kendall Bolden allows following entities to bill medicare on her behalf.

Entity Name	Nwi Clarity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619412160 PECOS PAC ID: 5991082976 Enrollment ID: O20170428000976

Entity Name	Total Life Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20230511001104

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Simone Kendall Bolden is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Simone Kendall Bolden, LCSW 9250 Columbia Ave Ste 2e, Munster, IN 46321-3530 Ph: (219) 595-0043	Simone Kendall Bolden, LCSW 1153 Auburn Meadow Ln, Schererville, IN 46375-1381 Ph: (219) 477-9807

Reviews and Comments

Social Worker in Schererville, IN

Mrs. Robin Lynn Eldert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 518 Turnberry Dr, Schererville, IN 46375 Phone: 219-794-4035
Elishia Marie Jennings, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 326 E Us Highway 30, Schererville, IN 46375 Phone: 812-341-6961
Katelyn Deluca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 326 E Us Highway 30, Schererville, IN 46375 Phone: 219-323-3311
Miss Emily D Edwards, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 Indianapolis Blvd Ste 207, Schererville, IN 46375 Phone: 219-808-0793 Fax: 219-756-0795
Payton Smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 326 E Us Highway 30, Schererville, IN 46375 Phone: 219-323-3311
Madelyn Nicole Kalna, LSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 326 E Us Highway 30, Schererville, IN 46375 Phone: 219-323-3311

Simone Kendall Bolden, LCSW - Medicare Clinical Social Worker in Schererville, IN