Individual provider Active NPI

Harriet Emerson Porter, ACSW, LCSW, BCD

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1780761197
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149004025 Issued in IL
Practice address
1662 Chapel CT
Northbrook, IL 60062-4642
Phone
(847) 559-8718
Fax
(847) 272-9127
NPI assigned
Nov 1, 2006
Last updated
Feb 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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 149004025 IL Primary

Addresses

Primary practice location

1662 Chapel CT
Northbrook, IL 60062-4642

Mailing address

1662 Chapel CT
Northbrook, IL 60062-4642
Phone (847) 559-8718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090120000720 IL Practitioner - Clinical Social Worker 2163585035 Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steven D. Field, M.D. S. C. Past Accepting new patients
Joel M Groner Psy D PC PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1780761197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 CHAPEL CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624642",
            "telephone_number": "847-559-8718",
            "fax_number": "847-272-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 CHAPEL CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624642",
            "telephone_number": "847-559-8718",
            "fax_number": "847-272-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "HARRIET",
        "middle_name": "EMERSON",
        "name_prefix": "Ms.",
        "credential": "ACSW, LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.