NPI age
17 years
Enumerated 2009-05-15
● Active
Type 1 · Individual
MR. Mario Bolivar JR., LCSW
Bolivar is 1 of 31 social worker providers in Dallas and 1 of 5654 in Georgia.
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
FL, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2009-05-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 5654 active social worker providers in Georgia.
NPI age
17 years
↑ 8 yr above median (9 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-05Enumerated in NPPES
2009
2026
Where they practice
Practice location
112 Creekside Dr
Dallas, GA 301577370
Mailing address
112 Creekside Dr
Dallas, GA 301577370
Specialties
-
Social Worker PrimaryA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 2 new social worker providers have been added in Dallas in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.