Provider Demographics
NPI:1477721306
Name:BOLING, KARANITA BERNIECE (LCSW)
Entity type:Individual
Prefix:
First Name:KARANITA
Middle Name:BERNIECE
Last Name:BOLING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KARANITA
Other - Middle Name:B
Other - Last Name:HITE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:409 SE DOUGLAS ST
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-4246
Mailing Address - Country:US
Mailing Address - Phone:816-814-2634
Mailing Address - Fax:
Practice Address - Street 1:409 SE DOUGLAS ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-4246
Practice Address - Country:US
Practice Address - Phone:816-814-2634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20160165711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical