Susan Eva Porter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17821 Issued in CA

Practice address

1008 General Kennedy Ave Ste 1
San Francisco, CA 94129-1731

Phone

(617) 306-2138

NPI assigned

Mar 31, 2022

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1225778681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E PIER",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949653141",
            "telephone_number": "617-306-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 GENERAL KENNEDY AVE STE 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941291731",
            "telephone_number": "617-306-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SUSAN",
        "middle_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "17821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Porter, M.D.
• Jensyn Porter
• Joshua Vaughn Porter, MD
• Marco Porter
• Matthew Darren Porter, MFT
• Travis Nolan Porter
• Cecilia Portillo Benitez
• Alejandro Jose Portillo Quintanilla
• Fernando A Portillo Quintanilla
• Briseis Portillo

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.