Lisa D Portinga, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12440 Issued in MN

Practice address

1854 Grand Ave
Saint Paul, MN 55105-1403

Phone

(651) 702-6539

NPI assigned

Nov 9, 2011

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": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1619254372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 LEXINGTON AVE S APT 7",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231126",
            "telephone_number": "651-686-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051403",
            "telephone_number": "651-702-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTINGA",
        "first_name": "LISA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Porcher, RD
• Carolyn Marie Porta, PHD, MPH, RN, SANE-A
• Eleanor Porter-Nelson, MSW
• Amy Jo Porter, PTA
• Shasha Caroline Porter
• Andrew John Portis, M.D.
• Angela Posine, CD(DONA)
• Brian Christopher Post, PH.D.
• Hannah A Post, DMD
• Nancy Ann Potempa, LADC

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.