Nicholas Bolton | Cottonwood Heights, UT • PECOS Search

Nicholas Bolton

Social Worker

Behavioral Health & Social Service Providers

8420 S Wasatch Blvd, Cottonwood Heights, UT 84121

PECOS Enrollment

Based on the most recent information from CMS, provider Nicholas Bolton does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1245916204
Provider Type
Individual
Full Name
Bolton, Nicholas
Credential
LCSW

Gender
Male
Sole Proprietor
No
Enumeration Date
6/26/2023
Last Updated
6/26/2023

Contact Information

Practice Location

8420 S Wasatch Blvd, Cottonwood Heights, UT 84121

Unlisted Fax

Mailing Location

8420 S Wasatch Blvd, Cottonwood Heights, UT 84121

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 12267030-3501 Utah