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

Jaclyn Ruth Bolen, LICSW

Individual provider Social Worker · NPI 1982371860

Jaclyn Ruth Bolen, LICSW is a Social Worker in Shady Spring, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

141 Scarbrough Ln
Shady Spring, WV 25918-8590
Phone: (304) 578-1983
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence DP00946319 (WV)

Record details

NPI number1982371860
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 27, 2021
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026