BRANDON BOLTINGHOUSE LCSW
NPI 1861235921
Social Worker - Clinical in Woodbridge, VA

Active since June 17, 2024
903 TOTTEN RD, WOODBRIDGE, VA 22191(217) 493-2996 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandon Boltinghouse Lcsw NPPES

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

BRANDON BOLTINGHOUSE LCSW (NPI 1861235921) is an individual clinical provider in Woodbridge, Virginia, licensed in Virginia (090416803) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1861235921
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRANDON BOLTINGHOUSECredential: LCSW
Location Address903 TOTTEN RDWoodbridge, VA 22191-1424
Mailing Address903 Totten RdWoodbridge, VA 22191-1424 · (217) 493-2996
Sole ProprietorYes
Enumeration DateJune 17, 2024
NPPES CertifiedJune 17, 2024
NPI 1861235921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 090416803
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
903 TOTTEN RD, Woodbridge, VA 22191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Boltinghouse's NPI number?

The NPI number for Brandon Boltinghouse is 1861235921. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Brandon Boltinghouse located?

Brandon Boltinghouse practices at 903 Totten Rd, Woodbridge, VA 22191. The listed phone number is (217) 493-2996.

What is Brandon Boltinghouse's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Brandon Boltinghouse was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.