Individual provider · Type 1 NPI

Rasha Kamil Portis, LCSW

Clinical Social Worker · Ellenwood, GA

NPI number 1336705177 Active

Practice location

5514 Swanson Rd
Ellenwood, GA 30294-3857

Other practice locations

  • 5201 Great America Pkwy, Santa Clara, CA 95054-1122 · (404) 889-7323
  • 3424 Peachtree Rd NE Ste 2200, Atlanta, GA 30326-1156 · (323) 205-7088

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW004873 (GA)
Clinical Social Worker 1041C0700X103909 (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 1336705177

Rasha Kamil Portis, LCSW's National Provider Identifier is 1336705177, issued on May 16, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ellenwood, GA. The record was last updated on Aug 13, 2026.