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

Individual provider Active NPI Clinical Social Worker · Savoy, IL

NPI 1265099790 · NPPES record last updated Dec 23, 2025

Key facts

NPI
1265099790
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.022943 (IL)
Practice address
1801 Woodfield Dr # 103
Savoy, IL 61874-9505
Phone
(217) 366-3417
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
149.022943ILMDClinical Social Worker

Practice roles

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

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 149.022943 IL Yes

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

Other providers in Savoy, IL

All providers in Savoy, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.