Individual provider · Type 1 NPI

Michael Julian Boretz, L.C.S.W.

Clinical Social Worker · Susanville, CA

NPI number 1558601708 Active

Practice location

475 750 Rice Canyon Road
Susanville, CA 96127

Call (530) 251-5100 Map

Fax (530) 251-5017

Mailing address

12440 Firestone Blvd Ste 3001
Norwalk, CA 90650-4300

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS20610 (CA)

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 1558601708

Michael Julian Boretz, L.C.S.W.'s National Provider Identifier is 1558601708, issued on Feb 26, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Susanville, CA. The record was last updated on Apr 17, 2025.