Individual provider · Type 1 NPI

Mickayla Ashlee Porter

Clinical Social Worker · Salt Lake City, UT

NPI number 1821603408 Active

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

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2181526 (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.