Individual provider Active NPI

Christine Anne Porter, L.C.S.W.-R

  • Clinical Social Worker
  • Clinton, NY
National Provider Identifier
1578840625
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
035687 Issued in NY
Practice address
7325 State Route 5
Clinton Therapy and Testing Center
Clinton, NY 13323-3435
Phone
(315) 859-1973
Fax
(315) 859-1979
NPI assigned
Nov 3, 2011
Last updated
Jun 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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 035687 NY Primary

Addresses

Primary practice location

7325 State Route 5
Clinton Therapy and Testing Center
Clinton, NY 13323-3435

Mailing address

7325 State Route 5
Clinton Therapy and Testing Center
Clinton, NY 13323-3435
Phone (315) 859-1973

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
035687NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lora a. Abraham, LCSW, P.C. CurrentSince Oct 9, 2022 Accepting new patients

Locations

7325 State Route 5
Clinton, NY 13323
Phone (315) 859-1973

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, 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": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1578840625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 STATE ROUTE 5",
            "address_2": "CLINTON THERAPY AND TESTING CENTER",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233435",
            "telephone_number": "315-859-1973",
            "fax_number": "315-859-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 STATE ROUTE 5",
            "address_2": "CLINTON THERAPY AND TESTING CENTER",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233435",
            "telephone_number": "315-859-1973",
            "fax_number": "315-859-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "035687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.