Individual provider · Type 1 NPI

Diane Potratz, L.C.S.W

Clinical Social Worker · Medford, OR

NPI number 1821339417 Active

Practice location

19 Myrtle St
Medford, OR 97504-7337

Call (541) 773-3863 Map

Fax (541) 776-2892

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL3061 (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 1821339417

Diane Potratz, L.C.S.W's National Provider Identifier is 1821339417, issued on Mar 7, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on Jun 9, 2016.