Individual provider · Type 1 NPI

Jared Bollenbacher

Clinical Social Worker · Columbus, OH

NPI number 1104446400 Active

Practice location

467 Wilson Ave
Columbus, OH 43205-1944

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW60458136 (WA)

Clinical Social Worker: 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 interpers…

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About NPI 1104446400

Jared Bollenbacher's National Provider Identifier is 1104446400, issued on Apr 16, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Apr 16, 2020.