Jennifer Lynn Porter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-43510 Issued in ID

Practice address

740 McKinley Ave
Kellogg, ID 83837-2693

Phone

(208) 783-1267

Fax

(844) 807-3782

NPI assigned

May 4, 2015

Last updated

May 11, 2026By the provider in NPPES

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 names 1

• Jennifer Jackson Former name

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Shoshone Medical Center

  • Critical Access Hospital
  • Kellogg, ID
  • NPI 1043215437
  Medicare reassignment

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1962889477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838351387",
            "telephone_number": "208-783-1267",
            "fax_number": "844-807-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MCKINLEY AVE",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372693",
            "telephone_number": "208-783-1267",
            "fax_number": "844-807-3782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "858 Commerce Drive",
            "address_purpose": "LOCATION",
            "city": "Smelterville",
            "state": "ID",
            "postal_code": "83868",
            "country_code": "US",
            "telephone_number": "208-784-4612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2205 Ironwood Place",
            "address_2": "Ste A/B",
            "address_purpose": "LOCATION",
            "city": "Coeur d Alene",
            "state": "ID",
            "postal_code": "838142785",
            "country_code": "US",
            "telephone_number": "208-664-8347",
            "fax_number": "208-664-9217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-43510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JACKSON",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Nansel, BA, CFSP
• Shannon Marie Nansel, PEER SUPPORT SPECIAL
• Neil Orlew Norman, DDS
• North Idaho Eye Clinics, Inc. (Kellogg Vision Center)
• Amanda Rae Olson, LCSW
• Powder Basin Associates
• Powder Basin Associates
• Powder Basin Associates
• Premier Emergency Physicians of Idaho Medical Group
• Quality Care Transport

• Clinical Social Worker in Kellogg, ID
• Providers in Kellogg, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.