Dorene M Boltz, is a
Social Worker - Clinical based in Ft Jackson, South Carolina. Dorene M Boltz is licensed to practice in South Carolina (license number 7723) and her current practice location is
4575 8th Division Rd, Ft Jackson, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 751-5911.
NPI number for Dorene M Boltz is 1205007416 and her current mailing address is 4575 8th Division Rd, Ft Jackson, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205007416.
Healthcare Provider's Profile
Full Name | Dorene M Boltz |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4575 8th Division Rd, Ft Jackson, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205007416
- Provider Enumeration Date: 03/14/2008
- Last Update Date: 02/14/2025
Medical Identifiers
Medical identifiers for Dorene M Boltz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205007416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 7723 (South Carolina) | Primary |
1041C0700X | Social Worker - Clinical | CSW003589 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dorene M Boltz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dorene M Boltz, 4575 8th Division Rd, Ft Jackson, SC 29207 Ph: (803) 751-5911 | Dorene M Boltz, 4575 8th Division Rd, Ft Jackson, SC 29207 Ph: (803) 751-5911 |
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