Individual provider · Type 1 NPI

Marty J. Portell

School Social Worker · Potosi, MO

NPI number 1962329235 Active

Practice location

1 Trojan Dr
Potosi, MO 63664-1829

Mailing address

11767 Bates Creek Rd
Potosi, MO 63664-7008

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200XNone listed

School Social Worker: Definition to come...

Another provider at this address

About NPI 1962329235

Marty J. Portell's National Provider Identifier is 1962329235, issued on Jun 29, 2026. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Potosi, MO. The record was last updated on Jun 29, 2026.