Individual provider · Type 1 NPI

Delora K. Boaz, LCSW, LCADC

Clinical Social Worker · Louisville, KY

NPI number 1285637389 Active

Practice location

708 Magazine St Ste 100
Louisville, KY 40203-3779

Call (502) 589-8926 Map

Fax (502) 585-4218

Mailing address

10401 Linn Station Rd Ste 100
Louisville, KY 40223-3842

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1369 (KY)
Social Worker 104100000X1369 (KY)
Addiction (Substance Use Disorder) Counselor 101YA0400X0008 (KY)

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 1285637389

Delora K. Boaz, LCSW, LCADC's National Provider Identifier is 1285637389, issued on May 23, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Sep 2, 2026.