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

Mr. Jeremy Patrick Boal, LCSW

Individual provider Clinical Social Worker · NPI 1730814005

Mr. Jeremy Patrick Boal, LCSW is a Clinical Social Worker in Gresham, Oregon. Licensed in Missouri and Oregon. Registered with an NPI since 2022.

Licensed in
MO, OR
In the registry since
2022
Specialties on file
2
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

620 NE 2nd St
Gresham, OR 97030-7514
Phone: (971) 274-3757
Fax: (503) 912-5740
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 L15438 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2024023364 (MO)

Record details

NPI number1730814005
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

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