Hailie Porter, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801117894 Issued in MI

Practice address

6060 Dixie Hwy Ste H
Clarkston, MI 48346-3476

Phone

(248) 455-6619

NPI assigned

Jun 3, 2020

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bright Pine, Inc.

  • Psychologist
  • Waterford, MI
  • NPI 1063927085
  NPD

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1760006910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 ORCHARD ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484393312",
            "telephone_number": "248-763-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 DIXIE HWY STE H",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463476",
            "telephone_number": "248-455-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "HAILIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801117894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1335",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomasz R Pluszczyk, P.T.
• Ashley Nicole Polidan-Papp, FNP
• Suryakumari Polisetti
• Jodi L. Poljack, OTRL
• Sarah Popp, LLMSW
• Breahn Michele Post, LMSW
• Lauren Postal
• Justine Potthast, LMSW
• Jorge A Prada, CNS
• Precision Dna Solutions (Precision Testing Laboratories)

• Social Worker in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.