Jane' L Pore, MSW, LCAS-A , LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5108 Reagan Dr
Charlotte, NC 28296-6364

Phone

(704) 332-8787

NPI assigned

Sep 5, 2022

Sex

Female

Sole proprietor

Yes

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

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.

• Carolina Outreach

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1407585706
  NPD

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1750002226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WACO AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836364",
            "telephone_number": "704-956-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 REAGAN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282966364",
            "telephone_number": "704-332-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Waco Ave",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280836364",
            "country_code": "US",
            "telephone_number": "704-956-5345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORE",
        "first_name": "JANE'",
        "middle_name": "L",
        "credential": "MSW, LCAS-A , LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Rebecca Tayloe Popkowski, PA
• Elizabeth Poplin
• Matthew James Poplin, MD
• Courtney Rose Popp, PHARM.D.
• Porcelain Dolls of the Carolinas, Inc
• Martin Franciszek Porebski
• Cindy Carolina Porras
• Deborah Porter-Jones, LMT
• Amber Tate Porter, RD
• Briana Niree Porter

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.