Active NPIIndividual providerSole proprietor

Elizabeth T Porter, LICSW

Social Worker, Clinical in Watertown, Massachusetts

NPI Number1497233795
Practice location
175 North Beacon Street, (Lower School Program), Watertown, MA 02472-2790
Fax
—
Last updated
July 30, 2018

Elizabeth Trask Porter is a Social Worker, Clinical based in Watertown, MA. Elizabeth Trask Porter practices in Watertown, MA and has the professional credentials of LICSW. The NPI Number for Elizabeth Trask Porter is 1497233795 and holds a License No. 1023127 (MA). The current practice location address for Elizabeth Trask Porter is 175 North Beacon Street, (Lower School Program), Watertown, MA 02472-2790 and can be reached out via phone at 617-972-7287.

Provider Profile Details

NPI Number
1497233795
Provider Name
Elizabeth Trask Porter
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
175 North Beacon Street, (Lower School Program), Watertown, MA 02472-2790
Phone Number
617-972-7287
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 30, 2018
Last Update Date
July 30, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 North Beacon Street
(Lower School Program)
Watertown, MA 02472-2790
Zip
02472-2790
Phone Number
617-972-7287
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
41 Countryside Ln
Norwood, MA 02062-1734
City
Norwood
State
MA
Zip
02062-1734
Phone Number
781-956-5467

License Information

License Number
1023127
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth T Porter, LICSW?

The NPI number of Elizabeth T Porter, LICSW is 1497233795. It was assigned on July 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Elizabeth T Porter, LICSW?

Elizabeth T Porter, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1023127.

Where does Elizabeth T Porter, LICSW practice?

The practice location is 175 North Beacon Street, (Lower School Program), Watertown, MA 02472-2790. The office can be reached at 617-972-7287 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497233795 directly on the NPPES registry website.

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