Individual provider Active NPI

Emily Porter, LCSW-C

  • Clinical Social Worker
  • Millersville, MD
National Provider Identifier
1417405721
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20737 Issued in MD
Practice address
1114 Benfield Blvd
Millersville, MD 21108-2568
Phone
(410) 693-2788
NPI assigned
Sep 15, 2016
Last updated
Sep 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20737 MD Primary

Addresses

Primary practice location

1114 Benfield Blvd
Millersville, MD 21108-2568

Mailing address

1114 Benfield Blvd
Millersville, MD 21108-2568
Phone (410) 693-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20737MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health, LLC Current Accepting new patients
Thrive Behavioral Health, LLC CurrentSince Jul 1, 2021 Accepting new patients
Thrive Behavioral Health, LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1114 Benfield Blvd
Ste G
Millersville, MD 21108
Phone (410) 780-4320

9627 Philadelphia Rd
Ste 160
Rosedale, MD 21237
Phone (410) 780-5205

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1417405721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 BENFIELD BLVD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082568",
            "telephone_number": "410-693-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 BENFIELD BLVD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082568",
            "telephone_number": "410-693-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "EMILY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.