Justyna K Porter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009974 Issued in CO

Practice address

BLDG 7490, Southerland Circle and Provide Comfort Rd
Robinson Family Medicine Clinic
Fort Carson, CO 80913-8239

Phone

(910) 476-2931

NPI assigned

Apr 12, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1538523824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 7490, SOUTHERLAND CIRCLE AND PROVIDE COMFORT RD",
            "address_2": "ROBINSON FAMILY MEDICINE CLINIC",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809138239",
            "telephone_number": "910-476-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 7490, SOUTHERLAND CIRCLE AND PROVIDE COMFORT RD",
            "address_2": "ROBINSON FAMILY MEDICINE CLINIC",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809138239",
            "telephone_number": "910-476-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JUSTYNA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "C009974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark David Poirier, D.O.
• Lisa M Pokorny
• Claribel Polanco, CCC-SLP
• Matthew Mulhall Pontzer, D.O.
• Rebecca Anne Porteous
• Robert Thomas Powers, DO
• Stephanie Powers, DENTAL ASSISTANT
• Haiddie L Prata, RD
• Geoffrey Presley, PA
• Christopher Michael Prevette, PA-C

• Clinical Social Worker in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.