Michael Julian Boretz, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS20610 Issued in CA

Practice address

475 750 Rice Canyon Road
Susanville, CA 96127

Phone

(530) 251-5100

Fax

(530) 251-5017

NPI assigned

Feb 26, 2013

Last updated

Apr 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hernandez Counseling & Associates

  • Marriage & Family Therapist
  • Norwalk, CA
  • NPI 1982164570

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1558601708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 3001",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504300",
            "telephone_number": "668-698-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 750 RICE CANYON ROAD",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "96127",
            "telephone_number": "530-251-5100",
            "fax_number": "530-251-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORETZ",
        "first_name": "MICHAEL",
        "middle_name": "JULIAN",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-26",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommie Beard
• Emily Bird
• Brandon Blosser
• Vanessa Bonilla
• Gregory A Boomer
• Adrian Bowers, PH.D.
• Steven Eric Braatz, MD
• Braden Partners LP (Pacific Pulmonary Services)
• Angela Brandt, PHARMD
• Ronald Duane Branvold, DC

• Clinical Social Worker in Susanville, CA
• Providers in Susanville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.