Individual provider · Type 1 NPI
Edouard Niedenthal Duret
Clinical Social Worker · Portland, OR
Practice location
5441 S Macadam Ave Ste N
Portland, OR 97239-6106
Fax (458) 216-8051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW117885 (CA) |
| Adult Companion | 372600000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | L11117 (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 1740680909
Edouard Niedenthal Duret's National Provider Identifier is 1740680909, issued on Aug 25, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jan 5, 2025.