Individual provider · Type 1 NPI

Lisa Marie Portmann, LCSW SAC

Clinical Social Worker · Appleton, WI

NPI number 1114255361 Active

Practice location

3301 N Ballard Rd Ste B
Appleton, WI 54911-9002

Fax (920) 733-4796

Mailing address

2627 Marathon Ave
Neenah, WI 54956-5080

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15863-130 (WI)
Social Worker 104100000X10300-120 (WI)
Clinical Social Worker Primary 1041C0700X8453-123 (WI)

Clinical Social Worker: 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 interpers…

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About NPI 1114255361

Lisa Marie Portmann, LCSW SAC's National Provider Identifier is 1114255361, issued on Nov 30, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Appleton, WI. The record was last updated on Aug 7, 2025.