Carol Jean Portner, LCSW
Individual provider Active NPI Clinical Social Worker · Biscoe, NC
NPI 1124372958 · NPPES record last updated Oct 31, 2012
Key facts
- NPI
- 1124372958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C008021 (NC)
- Practice address
- 401 Lambert Rd
Biscoe, NC 27209-9002 - Phone
- (910) 428-2117
- NPI assigned
- Oct 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych on Site of North Carolina, Inc | Clinical | Current |
Accepting new patients |
Locations
3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C008021 | NC | Yes |
Addresses
Primary practice location
401 Lambert Rd
Biscoe, NC 27209-9002
Mailing address
13575 58TH St N
Suite 190
Clearwater, FL 33760-3740
Other providers in Biscoe, NC
- National Mentor Healthcare, LLC
- National Mentor Healthcare, LLC
- National Mentor Healthcare, LLC
- National Mentor Healthcare, LLC
- Neal and Joyce Parson
- Clarence Powers
- Purposed by Design, PLLC
- Simon Sam Saba
- Melissa Dawn Simmons
- Marion Smith
All providers in Biscoe, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.