Individual provider · Type 1 NPI

Chase Bradley Breitbach, LCSW

Clinical Social Worker · Fargo, ND

NPI number 1730999640 Active

Practice location

505 Oak St N Apt 434
Fargo, ND 58102-5542

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5933 (ND)

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 1730999640

Chase Bradley Breitbach, LCSW's National Provider Identifier is 1730999640, issued on Jan 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fargo, ND. The record was last updated on Jul 18, 2025.