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MS. THERESA ANN PORTER LICSW NPI 1386755023


NPI Information

NPI: 1386755023
Provider Name: MS. THERESA ANN PORTER, LICSW
Classification: Social Worker - 104100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
600 SOUTH 2ND STREET
SUITE 201
BISMARCK, ND
ZIP 58504
Phone: (701) 258-3780
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MS. Theresa Ann Porter, LICSW is a social worker in Bismarck, ND with 25 years of experience. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MS. Theresa Ann Porter, LICSW NPI is 1386755023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 SOUTH 2ND STREET
SUITE 201
BISMARCK, ND
ZIP 58504-729
Phone: (701) 258-3780
Fax: (701) 258-6431

The NPI 1386755023 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes (HCPCS:90834)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/3/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical2020NORTH DAKOTANo
2104100000XSocial Worker2020NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BCBS 26413OTHERNORTH DAKOTAMSW,LICSW
225714MEDICARE PINNORTH DAKOTA
319146MEDICAIDNORTH DAKOTA
4HP65337OTHERHEALTH PARTNERS
526413OTHERNORTH DAKOTABCBS
6PIN 19146MEDICAIDNORTH DAKOTA
7PIN 711827MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTAMSW,LICSW

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.