LACEY BOLDUC MSW - NPI 1396579124 - Counselor in Salem, OR

Q: What is Lacey Bolduc's NPI number?

The NPI number for Lacey Bolduc is 1396579124. It was assigned to this individual provider in the NPPES registry on August 26, 2024. The provider is also known as Lacey Brown.

Q: What is Lacey Bolduc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Lacey Bolduc was last updated on August 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Lacey Bolduc Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY BOLDUC MSW (NPI 1396579124) is an individual mental health provider in Salem, Oregon and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1396579124

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLACEY BOLDUCCredential: MSW

Location Address565 UNION ST NE STE 100Salem, OR 97301-2416

Mailing Address565 Union St Ne Ste 100Salem, OR 97301-2416 · (971) 719-2440

Phone(971) 719-2440

Sole ProprietorNo

Enumeration DateAugust 26, 2024

Last NPPES UpdateAugust 22, 2025

NPPES CertifiedAugust 22, 2025

✔ NPI 1396579124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

565 UNION ST NE STE 100, Salem, OR 97301

Open in Google Maps ↗

Other Names 1

Former Name (1)Lacey Brown

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARA ESPINOZA

Counselor (Mental Health)