Jessica Boldt, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60108262 Issued in WA

Practice address

1711 Main St
Vancouver, WA 98660-2607

Phone

(360) 601-0526

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1295867331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602607",
            "telephone_number": "360-601-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602607",
            "telephone_number": "360-601-0526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 Main St Ste 440",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986602955",
            "country_code": "US",
            "telephone_number": "360-601-0526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLDT",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60108262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory W Boice, DMD
• Carol L Boire, LMT
• Syed Amin Bokhari, MD
• Mackenzie M Bolden, M.S.
• Mashayla Marie Bolds
• Molly Leigh Boldt, BT
• Ziru Bolen, CCC-SLP
• Parris Boles
• Sheri Boles, OTRL
• Shawn W Boley, LICSW

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.