Active NPI
Seri Elaine Porter, MSW, LCSW, PH.D
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1467052803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149004454
- Practice address
- 4258 N Greenview Ave Apt 2D
Chicago, IL 60613-1173 - Phone
- (773) 870-1591
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149004454 | IL | Primary |
Addresses
Primary practice location
4258 N Greenview Ave Apt 2D
Chicago, IL 60613-1173
Mailing address
4258 N Greenview Ave Apt 2D
Chicago, IL 60613-1173
Phone (773) 870-1591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149004454 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- seriporter@tdh.allscriptsdirect.net
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1467052803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4258 N GREENVIEW AVE APT 2D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606131173",
"telephone_number": "773-870-1591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4258 N GREENVIEW AVE APT 2D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606131173",
"telephone_number": "773-870-1591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "SERI",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "MSW, LCSW, PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149004454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.