Individual provider · Type 1 NPI

Dale Kereczman, LCSW

Clinical Social Worker · Milwaukie, OR

NPI number 1740684331 Active

Practice location

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Call (503) 929-4945 Map

Mailing address

7480 SW 49th Ct
Portland, OR 97219-1492

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL5516 (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 1740684331

Dale Kereczman, LCSW's National Provider Identifier is 1740684331, issued on Oct 10, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milwaukie, OR. The record was last updated on Aug 28, 2019.