Jordan Boehler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW74493 Issued in CA

Practice address

1797 4TH St
Livermore, CA 94550-4347

Phone

(925) 443-2500

NPI assigned

Mar 27, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Del Valle Clinic, Inc

  • Clinical Psychologist
  • Livermore, CA
  • NPI 1023028248
  Medicare reassignment NPD
• Quest Health Management Psychological Corporation

  • Community/Behavioral Health Agency
  • Chino, CA
  • NPI 1245791490
  Medicare reassignment NPD
• Mind-Body Care, Inc.

  • Clinical Psychologist
  • Mountain View, CA
  • NPI 1093115347
  NPD (past)

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1316280332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 4TH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504347",
            "telephone_number": "925-443-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 Ashby Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947051803",
            "country_code": "US",
            "telephone_number": "510-123-4567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEHLER",
        "first_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW74493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Bleecker, M.D.
• Bloomingcamp Optometry a Professional Corporation
• Coni L Bloomingcamp, O.D.
• Jaineen Paula Bloss, D.C.
• Audrey Boe
• Jade Elizabeth Ayres Bohl, PPS
• Aditi Reddy Bommireddy, MD
• Alexander Nathan Bongers, DPT
• Samantha Bonilla, MSW
• Ceceli Bonitto, AUD

• Clinical Social Worker in Livermore, CA
• Providers in Livermore, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.