Individual provider · Type 1 NPI

David W. Gantz, LCSW

Clinical Social Worker · Portland, OR

NPI number 1164529848 Active

Practice location

4531 SE Belmont St Fl 3
Portland, OR 97215-1675

Call (503) 234-3400 Map

Fax (503) 233-9424

Mailing address

8130 SE Madison St
Portland, OR 97215-3025

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2896 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1164529848

David W. Gantz, LCSW's National Provider Identifier is 1164529848, issued on Sep 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.