Charlene Portnoy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

01769 Issued in MN

Legal business name

CHARLENE PORTNOY LLC

Practice address

6465 Wayzata Blvd Ste 355
St Louis Park, MN 55426-1730

Phone

(612) 760-2859

Fax

(612) 926-8915

NPI assigned

Apr 26, 2018

Last updated

Apr 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlene Mayson Portnoy, MSWNPI 1578691606

Title

Licsw, LMFT

Phone

(612) 760-2859

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlene Mayson Portnoy, LICSW LMFT

  • Clinical Social Worker
  • St Louis Park, MN
  • NPI 1578691606
  Authorized official Same address or phone
• Mark Edmund Lachapelle, MSW

  • Clinical Social Worker
  • Minnetonka, MN
  • NPI 1790797850
  NPD (past)

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1780172569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 WAYZATA BLVD STE 355",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261730",
            "telephone_number": "612-760-2859",
            "fax_number": "612-926-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 WAYZATA BLVD STE 355",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261730",
            "telephone_number": "612-760-2859",
            "fax_number": "612-926-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLENE PORTNOY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "PORTNOY",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "MAYSON",
        "authorized_official_title_or_position": "LICSW, LMFT",
        "authorized_official_telephone_number": "612-760-2859",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "01769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Marie Chambers
• Jane Elizabeth Chandler, M.A., CCC-SLP
• Ching-Yun Chang
• Amul Bharat Chaniara, MBBS, MD
• Jennifer Kay Chapdelaine, SLP
• Rebekah Charles, PHD LP NCSP
• Brian J Chase, DMD
• Melanie Cathrine Chatterton, OTR/L
• Noemi Eileen Chavez Mendez
• Julie A Chavez, DDS

• Clinical Social Worker in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.