Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Boltinghouse, LCSW

Individual provider Clinical Social Worker · NPI 1861235921

Brandon Boltinghouse, LCSW is a Clinical Social Worker in Woodbridge, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

903 Totten Rd
Woodbridge, VA 22191-1424
Phone: (217) 493-2996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 090416803 (VA)

Record details

NPI number1861235921
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address903 Totten Rd, Woodbridge, VA 22191-1424

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