James Samuel Boldt is a Clinical in Ventura, California. James Samuel Boldt practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Samuel Boldt is 1033258215. The last update date is 2007-07-09.
James Samuel Boldt's current location address is 344 Lupine Way, Ventura, California. You can contact this provider via phone number 8056434357. The mailing address for James Samuel Boldt is 344 Lupine Way, Ventura, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Samuel Boldt |
|---|---|
| Address | 344 Lupine Way, Ventura, California |
| Phone Number | 8056434357 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S.W. |
NPI Number Detail
| NPI Number | 1033258215 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 344 Lupine Way |
|---|---|
| City | Ventura |
| State | California (CA) |
| Post Code | 930012221 |
| Phone Number | 8056434357 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 5728 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SW 5728 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to James Samuel Boldt?
The James Samuel Boldt has been issued the NPI (National Provider Identifier) 1033258215 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where James Samuel Boldt is geographically located?
The James Samuel Boldt is physically situated at the following location: 344 Lupine Way, Ventura, CA, 930012221.
What is James Samuel Boldt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for James Samuel Boldt is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033258215 to James Samuel Boldt?
The James Samuel Boldt received its 1033258215 assignment from the Centers for Medicare & Medicaid Services on 2007-02-05.
When was the information pertaining to James Samuel Boldt most recently updated or revised?
The details related to James Samuel Boldt, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
NPI Number: 1063415297
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