Organization · Type 2 NPI

Portal Psychotherapy, LLC

Clinical Social Worker · Philadelphia, PA

NPI number 1255200051 Active

Practice location

1833 S 6th St
Philadelphia, PA 19148-1732

Call (202) 670-4057 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1255200051

Portal Psychotherapy, LLC's National Provider Identifier is 1255200051, issued on Oct 31, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 31, 2025.