Individual provider · Type 1 NPI

Jacqueline Elizabeth Boltz, LCSW

Clinical Social Worker · Portland, OR

NPI number 1497394977 Active

Practice location

1831 SE 7th Ave Ste 201
Portland, OR 97214-3580

Call (503) 912-4930 Map

Mailing address

3385 SE Francis St
Portland, OR 97202-3053

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL11479 (OR)

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 1497394977

Jacqueline Elizabeth Boltz, LCSW's National Provider Identifier is 1497394977, issued on Dec 31, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jun 5, 2025.