Individual provider · Type 1 NPI

Dan Kenneth Porter, LISW, LICDC

Clinical Social Worker · Mentor, OH

NPI number 1750420113 Active

Practice location

8445 Munson Rd
Mentor, OH 44060-2410

Call (440) 255-1700 Map

Fax (440) 205-2417

Mailing address

9007 Old State Rd
Chardon, OH 44024-9255

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI3749 (OH)

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 1750420113

Dan Kenneth Porter, LISW, LICDC's National Provider Identifier is 1750420113, issued on Feb 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mentor, OH. The record was last updated on Jul 8, 2007.