Individual provider Active NPI

Courtney Ann Porter, LSW, MSW, M.ED.

  • Clinical Social Worker
  • Savoy, IL
National Provider Identifier
1265099790
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022943 Issued in IL
Practice address
1801 Woodfield Dr # 103
Savoy, IL 61874-9505
Phone
(217) 366-3417
NPI assigned
May 21, 2019
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.022943 IL Primary

Addresses

Primary practice location

1801 Woodfield Dr # 103
Savoy, IL 61874-9505

Mailing address

1801 Woodfield Dr # 103
Savoy, IL 61874-9505
Phone (217) 366-3417

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210408001966 IL Practitioner - Clinical Social Worker 8426466525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1801 Woodfield Dr
Suite 212
Savoy, IL 61874-9505
Phone (217) 898-9131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
149.022943ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Courtney Porter Therapy, LLC Clinical CurrentSince Jan 18, 2025 Accepting new patients

Locations

1801 Woodfield Dr
#212
Savoy, IL 61874
Phone (217) 898-9131

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1265099790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WOODFIELD DR # 103",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749505",
            "telephone_number": "217-366-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WOODFIELD DR # 103",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749505",
            "telephone_number": "217-366-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LSW, MSW, M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savoy, IL

Sources for this page

Verify at the official NPI Registry.