Individual provider · Type 1 NPI

Jan P. Bolger, LCSW

Clinical Social Worker · Fayetteville, NC

NPI number 1942262985 Active

Practice location

2300 Ramsey St, Department Of Social Services
Fayetteville, NC 28301-3856

Call (910) 488-2120 Map

Fax (910) 822-7089

Mailing address

VAMC-2300 Ramsey Street, Department Of Social Services
Fayetteville, NC 28310

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC-004570 (NC)

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 1942262985

Jan P. Bolger, LCSW's National Provider Identifier is 1942262985, issued on Apr 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 13, 2026.