Active NPI
Will Porta, LMSW-CC
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1083320915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC19210
- Practice address
- 66 Bramhall St
Portland, ME 04102-3344 - Phone
- (207) 662-2221
- NPI assigned
- Jan 24, 2023
- 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 | MC19210 | ME | Primary |
Addresses
Primary practice location
66 Bramhall St
Portland, ME 04102-3344
Mailing address
210 Blackstrap Rd
Portland, ME 04105-2596
Phone (207) 939-5000
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 |
|---|---|---|---|
| MC19210 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1083320915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 BLACKSTRAP RD",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041052596",
"telephone_number": "207-939-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023344",
"telephone_number": "207-662-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTA",
"first_name": "WILL",
"credential": "LMSW-CC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC19210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
- Margarita Popova, MD
- Svetla M. Popova, LCPC
- Port City Physical Therapy
- Port City Physical Therapy Limited
- Port City Physical Therapy Limited Partnership
- Daniel Porter, MSN, PMHNP-BC
- Portland Cardiology P.a.
- Portland Center for Counseling and Psychotherapy
- Portland Center for Dentistry LLC
- Portland Chiropractic Neurology, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.