Individual provider · Type 1 NPI
Jennifer L. Bouldry, LCSW
Clinical Social Worker · Avon, CO
Practice location
50 Buck Creek Road, Suite 200
Avon, CO 81620-4330
Fax (970) 926-6348
Mailing address
50 Buck Creek Rd, Suite 200
Avon, CO 81620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | MC15031 (ME) |
| Clinical Social Worker Primary | 1041C0700X | 09926807 (CO) |
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 1164824207
Jennifer L. Bouldry, LCSW's National Provider Identifier is 1164824207, issued on Sep 19, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Avon, CO. The record was last updated on Jan 15, 2021.