OLGA BOLTENKOV LICSW NPI 1700292596

NPI Information

NPI: 1700292596
Provider Name: OLGA BOLTENKOV, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
134 NE 18TH AVE
CAMAS, WA
ZIP 98607
Phone: (360) 952-2073
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Olga Boltenkov, LICSW is a mental health counselor in Camas, WA. Olga Boltenkov, LICSW NPI is 1700292596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

134 NE 18TH AVE
CAMAS, WA
ZIP 98607
Phone: (360) 952-2073

The NPI 1700292596 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/1/2014 and was last updated on 10/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	WASHINGTON	No
3	101YM0800X	Counselor	Mental Health	OREGON	No
4	101YM0800X	Counselor	Mental Health		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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