Active NPI
Samuel Ray Porterfield, LCSW
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1063981777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14161
- Practice address
- PFC Floyd K. Lindstrom Outpatient Clinic
3141 Centennial Blvd.
Colorado Springs, CO 80907 - Phone
- (719) 327-5660
- NPI assigned
- Nov 26, 2018
- Last updated
- Nov 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW14161 | FL | Primary |
Addresses
Primary practice location
PFC Floyd K. Lindstrom Outpatient Clinic
3141 Centennial Blvd.
Colorado Springs, CO 80907
Mailing address
PFC Floyd K. Lindstrom Outpatient Clinic
3141 Centennial Blvd.
Colorado Springs, CO 80907
Phone (719) 327-5660
Other practice location 1
14 Oak Pl Uppr
Manitou Springs, CO 80829-2519
Phone (727) 735-4558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW14161 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1063981777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PFC FLOYD K. LINDSTROM OUTPATIENT CLINIC",
"address_2": "3141 CENTENNIAL BLVD.",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-327-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PFC FLOYD K. LINDSTROM OUTPATIENT CLINIC",
"address_2": "3141 CENTENNIAL BLVD.",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-327-5660"
}
],
"practiceLocations": [
{
"address_1": "14 Oak Pl Uppr",
"address_purpose": "LOCATION",
"city": "Manitou Springs",
"state": "CO",
"postal_code": "808292519",
"country_code": "US",
"telephone_number": "727-735-4558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTERFIELD",
"first_name": "SAMUEL",
"middle_name": "RAY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
- Zachary Millslagle Porter, MPH, CSCS
- Portercare Adventist Health System (AdventHealth Transplant Institute Colorado Springs)
- Portercare Adventist Health System (AdventHealth Transplant Institute East Colorado Springs)
- Kelly Diane Porterfield, LPC
- Mesha Porterfield
- Jonathan Porteus
- Elizabeth Posada-Carlos
- Valerie Posada, D.O
- Positive Change
- Positive Shift Psychotherapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.