Active NPI
Ulu Elia Porter, DSW, LCSW, MFT, BCD
- Clinical Social Worker
- West Point, NY
National Provider Identifier
1306142377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L5891
- Practice address
- 900 Washington Rd
West Point, NY 10996-1109 - Phone
- (845) 983-7597
- NPI assigned
- Feb 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L5891 | OR | Primary |
Addresses
Primary practice location
900 Washington Rd
West Point, NY 10996-1109
Mailing address
900 Washington Rd
West Point, NY 10996-1109
Phone (845) 983-7597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5891 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1306142377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WASHINGTON RD",
"city": "WEST POINT",
"state": "NY",
"postal_code": "109961109",
"telephone_number": "845-983-7597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WASHINGTON RD",
"city": "WEST POINT",
"state": "NY",
"postal_code": "109961109",
"telephone_number": "845-983-7597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "ULU",
"middle_name": "ELIA",
"credential": "DSW, LCSW, MFT, BCD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-08",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L5891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.