Jeremy Patrick Boal, LCSW
NPI 1730814005ActiveIndividual· Social Worker, Clinical· Gresham, OR
Social Worker, Clinical (LCSW) in Gresham, Oregon, licensed in OR and MO, with an NPI issued in July 2022. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1730814005 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jul 20, 2022 |
| Last updated in NPPES | Jul 16, 2026 |
| Certified by provider | Jul 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | L15438 | OR |
| Social Worker, Clinical | 1041C0700X | 2024023364 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OR) |
|---|
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