Individual provider Active NPI

Katherine Porter, LCSW

  • Clinical Social Worker
  • Elmhurst, IL
National Provider Identifier
1720146889
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011840 Issued in IL
Practice address
188 W Industrial Dr Ste 236
Elmhurst, IL 60126-1610
Phone
(630) 686-8788
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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 149011840 IL Primary

Addresses

Primary practice location

188 W Industrial Dr Ste 236
Elmhurst, IL 60126-1610

Mailing address

109 Arboretum Dr
Lombard, IL 60148-7109
Phone (630) 440-9657

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
149011840ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
RTP Sports Medicine and Physical Therapy LLC CurrentSince Apr 30, 2023 Accepting new patients
Metropolitan Family Services Past Accepting new patients
Presence Behavioral Health Past Accepting new patients
Catholic Charities of the Diocese of Joliet Past Accepting new patients

Locations

188 W Industrial Dr
Ste 236
Elmhurst, IL 60126
Phone (630) 607-0498

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1720146889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ARBORETUM DR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487109",
            "telephone_number": "630-440-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W INDUSTRIAL DR STE 236",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261610",
            "telephone_number": "630-686-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.