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

Mr. Jeremy Craig Bolden, MSW

Individual provider Clinical Social Worker · NPI 1649830647

Mr. Jeremy Craig Bolden, MSW is a Clinical Social Worker in Lacey, Washington. Qualified in 2019, 7 years ago. Offers telehealth. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2019
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

4804 Lacey Blvd SE Ste A
Lacey, WA 98503-5733
Phone: (360) 799-5782
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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 SC60970302 (WA)

Record details

NPI number1649830647
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESJune 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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