Jaime L Porter, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.010478 Issued in IL

Practice address

1921 N Market St
Monticello, IL 61856-8144

Phone

(217) 762-5371

Fax

(217) 762-4066

NPI assigned

Mar 9, 2009

Last updated

Mar 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jaime L Elliott Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piatt County Mental Health CenterGroup PAC ID 1254377724, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Piatt County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monticello, IL
  • NPI 1508974197

  Social Worker

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1114168937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 N MARKET ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618568144",
            "telephone_number": "217-762-5371",
            "fax_number": "217-762-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 N MARKET ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618568144",
            "telephone_number": "217-762-5371",
            "fax_number": "217-762-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JAIME",
        "middle_name": "L",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.010478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "ELLIOTT",
            "middle_name": "L",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Piatt County Mental Health Center
• Piatt County Mental Health Center
• Piatt County Mental Health Center
• Piatt County Transportation
• Sarah Pittman
• Kathleen Quinn, RD, LDN
• Laci M Rascher, FNP
• Resq Alert LLC
• Emily Roberts
• Luz E Rodriguez-Lennon, NP

• Social Worker in Monticello, IL
• Providers in Monticello, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.