Individual provider · Type 1 NPI

Elizabeth Porter, LCSW

Clinical Social Worker · Fort Wayne, IN

NPI number 1619216389 Active

Practice location

4109 W Jefferson Blvd, Ste A
Fort Wayne, IN 46804-8694

Fax (260) 486-5058

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	34007078A (IN)
Mental Health Counselor	101YM0800X	33006395A (IN)

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 1619216389

Elizabeth Porter, LCSW's National Provider Identifier is 1619216389, issued on Jan 31, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 3, 2024.