JACQUELINE ELIZABETH BOLTZ LCSW
NPI 1497394977
Social Worker - Clinical in Portland, OR

NPI Status: Active since December 31, 2019

Contact Information

1831 SE 7TH AVE STE 201
PORTLAND, OR
ZIP 97214
Phone: (503) 912-4930

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  • Individual
  • Female
  • Social Worker
  • Clinical
  • Accepts Insurance

About JACQUELINE BOLTZ

This page provides the complete NPI Profile along with additional information for Jacqueline Boltz, a provider established in Portland, Oregon with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1497394977 assigned on December 2019. The practitioner's primary taxonomy code is 1041C0700X with license number L11479 (OR). The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1497394977
Provider Name
JACQUELINE ELIZABETH BOLTZ LCSW
Other Name
JACQUELINE ELIZABETH POTTER CSWA
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1831 SE 7TH AVE STE 201 PORTLAND, OR 97214
Location Phone
(503) 912-4930
Mailing Address
3385 SE FRANCIS ST PORTLAND, OR 97202
Mailing Phone
(720) 563-1321
Is Sole Proprietor?
Yes
Enumeration Date
12-31-2019
Last Update Date
06-05-2025
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A clinical social worker like Jacqueline Boltz is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
L11479
License State
OR
Taxonomy Description
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Silver 6200 Individual and Family Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for JACQUELINE ELIZABETH BOLTZ LCSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497394977
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187698914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 6 + 9 + 8 + 9 + 1 + 4 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1497394977 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578706065DR. LOUISE PAEZ D.C.
Individual
Chiropractor1831 SE 7TH AVE STE 201
PORTLAND, OR 97214
(503) 766-3664
1326464504 STEPHANIE LEPPERT
Individual
Massage Therapist1831 SE 7TH AVE STE 201
PORTLAND, OR 97214
(503) 766-3664
1730745712TO THE POINT PDX LLC
Organization
Acupuncturist1831 SE 7TH AVE STE 201
PORTLAND, OR 97214
(503) 705-6637
1982287280MONARCH CHIROPRACTIC LLC
Organization
Clinic/Center (Health Service)1831 SE 7TH AVE STE 201
PORTLAND, OR 97214
(503) 383-9190
1821855412 OBY IVERSEN LMT
Individual
Massage Therapist1831 SE 7TH AVE STE 201
PORTLAND, OR 97214
(541) 609-0465

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497394977, enumerated in the NPI registry as an "individual" on December 31, 2019

The provider is located at 1831 Se 7th Ave Ste 201 Portland, Or 97214 and the phone number is (503) 912-4930

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 31, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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