Portico Erc, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PORTICO ERC, LLC

Practice address

1253 Canyon Rd
Morgantown, WV 26508-9273

Phone

(304) 898-8389

NPI assigned

Aug 12, 2022

Organization subpart

No

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

Authorized official

Name

Elizabeth Rayanne Cichoski, LICSW

Title

Clinical Therapist

Phone

(304) 288-7928

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Rayanne Witter, LICSW

  • Clinical Social Worker
  • Morgantown, WV
  • NPI 1942220025
  NPD

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1508594961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WAITMAN ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265017545",
            "telephone_number": "304-288-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 CANYON RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089273",
            "telephone_number": "304-898-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTICO ERC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "CICHOSKI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "RAYANNE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "304-288-7928",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://beth-cichoski.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1253 Canyon Rd",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265089273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Rae Poremba, MOT
• Erin Brianna Porfeli, DO
• Courtney Porter
• Katrina Porter
• Jarrett Porterfield, DPT
• Averial Madonna Porto, PHARM D
• Thomas S Porto, PHYSICAL THERAPIST
• Positive Pathways Psychotherapy PLLC
• Judy Post
• Kelly Ann Post, AFNP

• Clinical Social Worker in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.