Heather Lynn Kinkade Porter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006168 Issued in VA

Practice address

515 Sternberg Ave
Usameddac, Family Advocacy Program
Fort Eustis, VA 23604-1526

Phone

(757) 314-7966

NPI assigned

Jul 31, 2008

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

Other names 1

• Ms. Heather Lynn Kinkade Former name

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1730345588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "BENA",
            "state": "VA",
            "postal_code": "230180007",
            "telephone_number": "804-815-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STERNBERG AVE",
            "address_2": "USAMEDDAC, FAMILY ADVOCACY PROGRAM",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236041526",
            "telephone_number": "757-314-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "HEATHER",
        "middle_name": "LYNN KINKADE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KINKADE",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mackensi Carden Pfefferkorn
• Heather Pham, D.D.S.
• Susan J Pietrowski, OD
• Cecilia P Pilola, NURSE
• Merri Elizabeth Pope, PTA
• Allison B Pradhanang, PT, DPT
• Esmeralda Primeaux
• Jessica S Pruitt, PHARM.D.
• Felicia Cruz Pryor, M.A
• Mary Thisbe Quilab

• Clinical Social Worker in Fort Eustis, VA
• Providers in Fort Eustis, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.