Individual provider · Type 1 NPI

Shaquasa Porter

Clinical Social Worker · Middlebury, CT

NPI number 1710848403 Active

Practice location

900 Straits Tpke Ste C107
Middlebury, CT 06762-2865

Call (475) 235-9743 Map

Fax (203) 886-1181

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X011432 (CT)

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 1710848403

Shaquasa Porter's National Provider Identifier is 1710848403, issued on Nov 21, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Middlebury, CT. The record was last updated on Nov 21, 2025.