Individual provider · Type 1 NPI

Amon Olu Porter, PhD, LCSW

Clinical Social Worker · Oakland, CA

NPI number 1245415215 Active

Practice location

675 Hegenberger Road, #214
Oakland, CA 94621-1973

Fax (510) 397-6292

Mailing address

PO Box 14306
Oakland, CA 94614-2306

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW22480 (CA)

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 1245415215

Amon Olu Porter, PhD, LCSW's National Provider Identifier is 1245415215, issued on Jan 8, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on Jan 27, 2017.