Grant Allan Porteous, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801084473 Issued in MI

Practice address

3335 S Airport Rd W
Ste 7B
Traverse City, MI 49684-7928

Phone

(231) 715-8466

NPI assigned

Oct 11, 2006

Last updated

Mar 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1346338357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 VETERANS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844725",
            "telephone_number": "231-715-8466",
            "fax_number": "231-943-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 S AIRPORT RD W",
            "address_2": "STE 7B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847928",
            "telephone_number": "231-715-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTEOUS",
        "first_name": "GRANT",
        "middle_name": "ALLAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801084473",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801084473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Olivia Popp-Trevino
• Hayley Rae Popp, DDS
• Spencer Popp, PA-C
• Lawrence Joseph Porta, L.M.H.C.
• Robert S Portenga, D.D.S., M.S.
• James Bennett Klinger Porter
• Felicia Potter
• Rachel Potter
• William Phillip Potthoff Jr., M.D.
• William Phillip Potthoff, M.D.

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.