Individual provider · Type 1 NPI

Jacob Porter, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1326792946 Active

Practice location

2312 S 6th St
Minneapolis, MN 55454-1336

Call (612) 672-6999 Map

Mailing address

2641 34th Ave S
Minneapolis, MN 55406-1735

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28211 (MN)

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 1326792946

Jacob Porter, LICSW's National Provider Identifier is 1326792946, issued on Feb 11, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 11, 2022.