Individual provider · Type 1 NPI

Kimberly Porter, LMSW

Clinical Social Worker · Idaho Falls, ID

NPI number 1396520987 Active

Practice location

1908 Jennie Lee Dr
Idaho Falls, ID 83404-6159

Call (208) 932-7048 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8911431 (ID)

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 1396520987

Kimberly Porter, LMSW's National Provider Identifier is 1396520987, issued on Aug 30, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 2, 2026.