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

Shawn W Boley, LICSW

Individual provider Counselor · NPI 1235672957

Shawn W Boley, LICSW is a Clinical Social Worker in Vancouver, Washington. Qualified in 2010, 16 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
16
Licensed in
WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

6015 NE 37th St
Vancouver, WA 98661-3276
Phone: (206) 941-8538
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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 LW60787398 (WA)
Counselor Taxonomy 101Y00000X · Licence CG60209517 (WA)

Record details

NPI number1235672957
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 29, 2016
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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