Individual provider · Type 1 NPI

Jennifer Lynn Porter, LCSW

Clinical Social Worker · Kellogg, ID

NPI number 1962889477 Active

Practice location

740 Mckinley Ave
Kellogg, ID 83837-2693

Fax (844) 807-3782

Mailing address

PO Box 1387
Hayden, ID 83835-1387

Other practice locations

  • 858 Commerce Drive, Smelterville, ID 83868 · (208) 784-4612
  • 2205 Ironwood Place, Ste A/b, Coeur D Alene, ID 83814-2785 · (208) 664-8347

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-43510 (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…

29 other providers at this address

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About NPI 1962889477

Jennifer Lynn Porter, LCSW's National Provider Identifier is 1962889477, issued on May 4, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kellogg, ID. The record was last updated on May 11, 2026.