Shanna Brielle Porter, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61319111 Issued in WA

Practice address

598 W Raptor Peak Dr
Spokane, WA 99224-5854

Phone

(509) 981-0647

NPI assigned

Apr 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Indigo Gardens LLC

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1144988866
  Medicare reassignment NPD
• Wildflower Wellness Counseling PLLC

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1669161410
  NPD Authorized official

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1376230219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 W RAPTOR PEAK DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992245854",
            "telephone_number": "509-981-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 W RAPTOR PEAK DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992245854",
            "telephone_number": "509-981-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SHANNA",
        "middle_name": "BRIELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61319111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin M Portch, MA
• Kimberly Anne Kumiko Portch, PA-C
• Porter Enterprises, Inc
• James J Porter, DPM
• Jerry Alan Porter, CHIROPRACTOR
• Tracy Porter, RN
• Quintin Porterfield
• Miguel Posada, APRN
• Quentin Posada
• Michael Ian Posch, M.D.

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.