Individual provider · Type 1 NPI

Mark Edward Holderbach, M.S.W., L.C.S.W.

Clinical Social Worker · Gresham, OR

NPI number 1649397183 Active

Practice location

4101 NE Division St
Gresham, OR 97030-4617

Call (503) 666-6575 Map

Fax (503) 666-4047

Mailing address

14978 SW Emerald Ct
Beaverton, OR 97007-8560

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL3497 (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 1649397183

Mark Edward Holderbach, M.S.W., L.C.S.W.'s National Provider Identifier is 1649397183, issued on Mar 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gresham, OR. The record was last updated on Jul 9, 2007.