Portal Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PORTAL PSYCHOTHERAPY, LLC

Practice address

1833 S 6TH St
Philadelphia, PA 19148-1732

Phone

(202) 670-4057

NPI assigned

Oct 31, 2025

Organization subpart

No

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

Authorized official

Name

Laila Fakri, LCSW, LCSW-CNPI 1497356265

Title

Owner

Phone

(202) 670-4057

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laila Fakri

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1497356265
  NPD Authorized official

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1255200051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 S 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481732",
            "telephone_number": "202-670-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 S 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481732",
            "telephone_number": "202-670-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAL PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "FAKRI",
        "authorized_official_first_name": "LAILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-670-4057",
        "authorized_official_credential": "LCSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.