Provider Demographics
NPI:1245836808
Name:BOES, JENNIFER KAY (LCSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KAY
Last Name:BOES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:KAY
Other - Last Name:BRITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:701 HIGH ST STE 203
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-4734
Mailing Address - Country:US
Mailing Address - Phone:530-869-1321
Mailing Address - Fax:
Practice Address - Street 1:701 HIGH ST STE 203
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-4734
Practice Address - Country:US
Practice Address - Phone:530-869-1321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-09
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1171771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical