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Mr. Gerard W Kottenbrock, LICSWLAC
Clinical Social Worker in Fargo, North Dakota
NPI 1528161189

Gerard W Kottenbrock is a Clinical Social Worker based in Fargo, ND and is specialized in Clinical. Gerard W Kottenbrock practices in Fargo, ND and has the professional credentials of LICSWLAC. The NPI Number for Gerard W Kottenbrock is 1528161189 and holds a License No. 1540 (North Dakota).

The current practice location address for Gerard W Kottenbrock is 510 4Th St S, Fargo, ND and can be reached out via phone at 701-476-7240 and via fax at 701-476-7269.

Location: 510 4Th St S, Fargo, ND, 58103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528161189
Provider Name
Gerard W Kottenbrock
Credential
LICSWLAC
Provider Entity Type
Individual
Gender
Male
Address
510 4Th St S, Fargo, ND, 58103
Phone Number
701-476-7240
Fax Number
701-476-7269
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19120 05 ND
institution
Provider Business Practice Location Address Details
Address
510 4Th St S
City
Fargo
State
North Dakota
Zip
58103
Phone Number
701-476-7240
Fax Number
701-476-7269
person
Provider Business Mailing Address Details
Address
510 4Th St S
City
Fargo
State
North Dakota
Zip
58103
Phone Number
701-476-7240
Fax Number
701-476-7269
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LICSW1832 (North Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
1540 (North Dakota)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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