Individual provider · Type 1 NPI

Dorene M. Boltz

Clinical Social Worker · Fort Jackson, SC

NPI number 1205007416 Active

Practice location

4575 8th Division Rd
Fort Jackson, SC 29207

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7723 (SC)
Clinical Social Worker 1041C0700XCSW003589 (GA)

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…

About NPI 1205007416

Dorene M. Boltz's National Provider Identifier is 1205007416, issued on Mar 14, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Jackson, SC. The record was last updated on Feb 14, 2025.