MR. MARK EDWARD HOLDERBACH M.S.W., L.C.S.W.
NPI 1649397183
Social Worker - Clinical in Gresham, OR

Active since March 22, 2007
4101 NE DIVISION ST, GRESHAM, OR 97030(503) 666-6575(503) 666-4047 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Mark Edward Holderbach M.s.w., L.c.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK EDWARD HOLDERBACH M.S.W., L.C.S.W. (NPI 1649397183) is an individual clinical provider in Gresham, Oregon, licensed in Oregon (L3497) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1649397183
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MARK EDWARD HOLDERBACHCredential: M.S.W., L.C.S.W.
Location Address4101 NE DIVISION STGresham, OR 97030-4617
Mailing Address14978 Sw Emerald CtBeaverton, OR 97007-8560 · (503) 666-6575 · Fax (503) 666-4047
Fax(503) 666-4047
Sole ProprietorNo
Enumeration DateMarch 22, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1649397183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L3497
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.
4101 NE DIVISION ST, Gresham, OR 97030

Other Identifiers 1

Medicaid1041C0700X CLINICALOR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health)
4101 NE DIVISION ST, SUITE 100
GRESHAM, OR 97030
Specialist
4101 NE DIVISION ST
GRESHAM, OR 97030
Case Manager/Care Coordinator
4101 NE DIVISION ST
GRESHAM, OR 97030
Specialist
4101 NE DIVISION ST, # 100
GRESHAM, OR 97030
Case Manager/Care Coordinator
4101 NE DIVISION ST
GRESHAM, OR 97030
Social Worker (Clinical)
4101 NE DIVISION ST
GRESHAM, OR 97030
Peer Specialist
4101 NE DIVISION ST
GRESHAM, OR 97030
Specialist
4101 NE DIVISION ST
GRESHAM, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Holderbach's NPI number?

The NPI number for Mark Holderbach is 1649397183. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Mark Holderbach located?

Mark Holderbach practices at 4101 NE Division St, Gresham, OR 97030. The listed phone number is (503) 666-6575.

What is Mark Holderbach's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mark Holderbach was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.