Individual provider · Type 1 NPI

Mimi Koontz, LCSW

Clinical Social Worker · Eugene, OR

NPI number 1972884427 Active

Practice location

550 River Rd
Eugene, OR 97404-3212

Call (541) 743-2611 Map

Fax (541) 868-0340

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL4711 (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 1972884427

Mimi Koontz, LCSW's National Provider Identifier is 1972884427, issued on Aug 29, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eugene, OR. The record was last updated on Jul 15, 2014.