Individual provider · Type 1 NPI

Chad Michael Porter, LCSW

Clinical Social Worker · Idaho Falls, ID

NPI number 1649590308 Active

Practice location

855 N Capital Ave Ste 1
Idaho Falls, ID 83402-3405

Call (208) 552-0855 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW33747 (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 1649590308

Chad Michael Porter, LCSW's National Provider Identifier is 1649590308, issued on Jun 4, 2010. 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 Jan 17, 2025.