Individual provider · Type 1 NPI
Mickayla Ashlee Porter
Clinical Social Worker · Salt Lake City, UT
Practice location
4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550
Mailing address
1609 N Government Way
Coeur D Alene, ID 83814-3337
Other practice locations
- 1609 N Government Way, Coeur D Alene, ID 83814-3337 · (208) 667-3340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2181526 (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 1821603408
Mickayla Ashlee Porter's National Provider Identifier is 1821603408, issued on Sep 10, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 5, 2026.