Chad Michael Porter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW33747 Issued in ID

Practice address

855 N Capital Ave Ste 1
Idaho Falls, ID 83402-3405

Phone

(208) 552-0855

NPI assigned

Jun 4, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Luke and Spencer Behavioral Health PLLCGroup PAC ID 5092167940, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Luke & Spencer Behavioral Health PLLC

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1427834571

  Social Worker

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1649590308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 N CAPITAL AVE STE 1",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023405",
            "telephone_number": "208-552-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N CAPITAL AVE STE 1",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023405",
            "telephone_number": "208-552-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW33747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881708832",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Jordan Pond, PA-C
• Mark A Popwell, PHARMD
• Porter Eyecare PLLC
• Andrea Porter, RDN
• Bailey Leigh Porter, MSOT, OTR/L
• Clayden Porter, LSW
• Emily Porter
• John Wesley Porter, OD
• Kimberly Porter, LMSW
• Lisa L. Porter, O.D.

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.