Individual provider · Type 1 NPI

Shannon Leigh Porter

Clinical Social Worker · St. Clair, MI

NPI number 1669365078 Active

Practice location

1322 River Rd
St. Clair, MI 48079-2803

Mailing address

812 Brown St
St. Clair, MI 48079-4893

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801078877 (MI)

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 1669365078

Shannon Leigh Porter's National Provider Identifier is 1669365078, issued on Jun 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Clair, MI. The record was last updated on Jun 9, 2025.