Marty J Portell

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

1 Trojan Dr
Potosi, MO 63664-1829

Phone

(573) 438-2101

NPI assigned

Jun 29, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1962329235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11767 BATES CREEK RD",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636647008",
            "telephone_number": "573-438-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TROJAN DR",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641829",
            "telephone_number": "573-438-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELL",
        "first_name": "MARTY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S. Pearson, DO
• Pharmax Inc.
• Pharmax Inc.
• PHGG, LLC
• Izet Porobic
• Potosi Chiropractic Life Center
• Potosi Emergency Group, LLC
• Potosi Manor, Inc.
• Potosi Optometric Center
• Potosi R3 School District

• School Social Worker in Potosi, MO
• Providers in Potosi, MO by specialty
• School Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.