Lynn M Porter, LCSW
Individual provider Active NPI Clinical Social Worker · Paia, HI
NPI 1013085158 · NPPES record last updated Nov 24, 2024
Key facts
- NPI
- 1013085158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW-3974 (HI)
- Practice address
- 285 Hana Hwy
Paia, HI 96779-9746 - Phone
- (732) 299-7192
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Fordham University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore Counseling LLC
Practice addresses (Care Compare)
285 Hana Hwy
Paia, HI 96779-9746
Phone (808) 559-9100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191227000660 | HI | Practitioner - Clinical Social Worker | 0648604603 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04706900 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Counseling LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04706900 | NJ | |
| Clinical Social Worker | 1041C0700X | LCSW-3974 | HI | Yes |
Addresses
Primary practice location
285 Hana Hwy
Paia, HI 96779-9746
Mailing address
417 Monmouth Ave
Bradley Beach, NJ 07720-1148
Phone (732) 775-8590
Other providers in Paia, HI
- Michele RL Navarro Ishiki
- Birgitte Rita Nelson
- North Shore Counseling LLC
- Robert Thomas Perkins
- Anne Phelan
- Dominique Pozo
- Yolanda Rael
- Tanya L Raymond
- Cameron Rogers
- Konstantina Rose
All providers in Paia, HI · Clinical Social Worker in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.