Lisa G Porter, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

252292 Issued in KY

Practice address

645 Interstate Dr
Grayson, KY 41143-1704

Phone

(606) 474-0669

NPI assigned

Oct 13, 2011

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.porter.1@13661.direct.athenahealth.com

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.

• Ramey-Estep Homes, Inc

  • Community/Behavioral Health Agency
  • Rush, KY
  • NPI 1902145832
  Medicare reassignment NPD
• Ramey-Estep Homes, Inc

  • Rural Health Clinic/Center
  • Rush, KY
  • NPI 1831916022
  NPD

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1386929057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 PIGEON ROOST RD",
            "city": "RUSH",
            "state": "KY",
            "postal_code": "411688132",
            "telephone_number": "606-928-6648",
            "fax_number": "606-928-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 INTERSTATE DR",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431704",
            "telephone_number": "606-474-0669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017423",
            "country_code": "US",
            "telephone_number": "606-547-4400",
            "fax_number": "606-547-4180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Town Center Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410172416",
            "country_code": "US",
            "telephone_number": "859-360-6120",
            "fax_number": "606-547-4253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 S Carol Malone Blvd",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431355",
            "country_code": "US",
            "telephone_number": "606-713-0379",
            "fax_number": "606-547-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Pigeon Roost Rd",
            "address_purpose": "LOCATION",
            "city": "Rush",
            "state": "KY",
            "postal_code": "411688132",
            "country_code": "US",
            "telephone_number": "606-928-6648",
            "fax_number": "606-928-1056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "LISA",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "252292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100835480",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Payton
• Amy Perry
• Mindy Pfau, LPCC
• Yvonne Lynn Phillips
• Denise Kathleen Porter, RNCWHNP
• Premier Therapy & Health Centers, Inc.
• Prichard Elementary School Health Center
• Zaria Pruitt
• Tracie Raich
• Amy Elizabeth Ratcliff

• Social Worker in Grayson, KY
• Providers in Grayson, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.