MRS. JESSICA BOLDT (NPI# 1295867331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295867331 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA BOLDT |
| Credential | MSW |
| Practice Address |
1711 Main St Vancouver WA 98660-2607 |
| Practice Telephone | 3606010526 |
| Mailing Telephone | 3606010526 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2018-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60108262 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1104 Main St Ste 440, Vancouver, WA 986602955 | 3606010526 |
| Street Address |
1711 MAIN ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972090587 | Ahrens & Boldt Corporation | Social Worker | 1711 Main St, Vancouver, WA 98660-2607 | 2018-04-18 |
| 1912450305 | Casey Black | Social Worker | 1711 Main St, Vancouver, WA 98660 | 2016-08-02 |
| 1295167393 | Jeanne Fischer Mckee | Nurse Practitioner | 1711 Main St, Vancouver, WA 98660-2607 | 2013-07-31 |
| 1760727168 | Samantha Simones | Peer Specialist | 1711 Main St, Vancouver, WA 98660-2607 | 2012-12-11 |
| 1962755090 | Spencer P Shearer | Counselor | 1711 Main St, Vancouver, WA 98660-2607 | 2012-10-26 |
| 1659676997 | Kristin Ann Marie Ray | Counselor | 1711 Main St, Vancouver, WA 98660-2607 | 2011-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A 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 licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054660 | Jennifer A Wiss | Social Worker | 16517 Ne 79th St, Vancouver, WA 98682-1522 | 2020-08-18 |
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1174147789 | Keina Ritenburgh | Social Worker | 5210 Ne 25th Pl, Vancouver, WA 98663-1970 | 2020-05-31 |
| 1740802925 | Emily N Stoutsenberger | Social Worker | 2115 E 9th St, Vancouver, WA 98661-4311 | 2020-05-11 |
| 1780206037 | Linda Meadows | Social Worker | 1222 Ne Cedar Ridge Loop, Vancouver, WA 98664-2484 | 2020-05-09 |
| 1740815422 | Sandrine Halka | Social Worker | 8607 Nw 21st Ave, Vancouver, WA 98665-6612 | 2020-03-03 |
| 1982236634 | Carmen Lynn Butcher-houston | Social Worker | 1601 E Fourth Plain Blvd # A152, Vancouver, WA 98661-3713 | 2020-02-11 |
| 1790316818 | Nw Social Work Services | Social Worker | 2114 Main St # 100198, Vancouver, WA 98660-2674 | 2020-01-28 |
| 1184261307 | Sarah Linfoot | Social Worker | 4317 Ne Thurston Way Ste 240, Vancouver, WA 98662-6660 | 2019-12-06 |
| 1740830868 | Thea Renee Hosford | Social Worker | 5205 Nw 141st St, Vancouver, WA 98685-1589 | 2019-09-19 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.