Provider Demographics
NPI:1134369879
Name:BOLIN, APRIL LASHON (LCSW)
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:LASHON
Last Name:BOLIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 99562
Mailing Address - Street 2:
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94662
Mailing Address - Country:US
Mailing Address - Phone:510-206-2369
Mailing Address - Fax:
Practice Address - Street 1:1027 SHASTA ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-3923
Practice Address - Country:US
Practice Address - Phone:510-206-2369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS175421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical