Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Julian Boretz, LCSW

Individual provider Clinical Social Worker · NPI 1558601708

Mr. Michael Julian Boretz, LCSW is a Clinical Social Worker in Susanville, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

475 750 Rice Canyon Rd
Susanville, CA 96127
Phone: (530) 251-5100
Fax: (530) 251-5017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS20610 (CA)

Record details

NPI number1558601708
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 26, 2013
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing address12440 Firestone Blvd Ste 3001, Norwalk, CA 90650-4300

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