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

Jared Bollenbacher

Individual provider Clinical Social Worker · NPI 1104446400

Jared Bollenbacher is a Clinical Social Worker in Columbus, Ohio. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2020

Practice location Address checks out

467 Wilson Ave
Columbus, OH 43205-1944
Phone: (260) 615-0021
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60458136 (WA)

Record details

NPI number1104446400
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 16, 2020
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020

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