Individual provider · Type 1 NPI

John Patrick Heriza, L.C.S.W.

Clinical Social Worker · Baker City, OR

NPI number 1639216443 Active

Practice location

1948 Valley Ave
Baker City, OR 97814-3451

Fax (541) 523-9539

Mailing address

13997 Calley Fisher Ln
Haines, OR 97833-6368

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL3504 (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 1639216443

John Patrick Heriza, L.C.S.W.'s National Provider Identifier is 1639216443, issued on Jan 31, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baker City, OR. The record was last updated on Jul 9, 2007.