Kristin Noel Porter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

59401 Issued in TX

Practice address

6300 John Ryan Dr
Fort Worth, TX 76132-4122

Phone

(817) 922-6083

Fax

(817) 922-5955

NPI assigned

Apr 22, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gladney

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1669658068
  NPD (past)

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1407438153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 10TH ST",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762262172",
            "telephone_number": "817-922-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 JOHN RYAN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324122",
            "telephone_number": "817-922-6083",
            "fax_number": "817-922-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KRISTIN",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL",
            "identifier": "59401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Da Shan Monquie Porter
• Donna Mae Porter, RMT
• Earnest A Porter
• Jennifer M Porter, L.P.C.
• Kristen Latonya Porter, NP
• Marlena Elizabeth Porter
• Sarah Porter, RBT
• Sarah Dell Porter
• Shaqueela Porter
• Hannah Porterfield, LMSW

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.