Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACLYN RUTH BOLEN LICSW
NPI 1982371860
Social Worker in Shady Spring, WV

Q: What is Jaclyn Bolen's NPI number?

The NPI number for Jaclyn Bolen is 1982371860. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Q: What is Jaclyn Bolen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Bolen was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.

Active since August 27, 2021PECOS Enrolled

141 SCARBROUGH LN, SHADY SPRING, WV 25918(304) 578-1983 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 8, 2026, Aug 27, 2021 (2 updates tracked since 2021).

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About Jaclyn Ruth Bolen Licsw NPPES

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

JACLYN RUTH BOLEN LICSW (NPI 1982371860) is an individual social worker in Shady Spring, West Virginia, licensed in West Virginia (DP00946319) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982371860

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJACLYN RUTH BOLENCredential: LICSW

Location Address141 SCARBROUGH LNShady Spring, WV 25918-8590

Mailing Address141 Scarbrough LnShady Spring, WV 25918-8590 · (304) 578-1983

Phone(304) 578-1983

Sole ProprietorYes

Enumeration DateAugust 27, 2021

Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1982371860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WV · DP00946319

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

141 SCARBROUGH LN, Shady Spring, WV 25918

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Ruth Bolen Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jaclyn Bolen's NPI number?

The NPI number for Jaclyn Bolen is 1982371860. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Jaclyn Bolen located?

Jaclyn Bolen practices at 141 Scarbrough Ln, Shady Spring, WV 25918. The listed phone number is (304) 578-1983.

What is Jaclyn Bolen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jaclyn Bolen enrolled in Medicare?

Yes. Jaclyn Bolen is registered in the Medicare PECOS enrollment system.

What insurance does Jaclyn Bolen accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Jaclyn Bolen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Bolen was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.