Jackie Daniel Porter

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1849 Issued in LA

Practice address

2640 Canal St
New Orleans, LA 70119-6446

Phone

(504) 821-2232

NPI assigned

Apr 4, 2018

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

State licenses

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1972009215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196446",
            "telephone_number": "504-821-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196446",
            "telephone_number": "504-821-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Canal St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701196435",
            "country_code": "US",
            "telephone_number": "504-822-0800",
            "fax_number": "504-822-0831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JACKIE",
        "middle_name": "DANIEL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dandre Porter
• Deirdre Ann Porter, RN
• Douglas Porter
• Hannah Porter, MD
• Hunter Porter, DNP, CRNA
• Lynisha Porter
• Rosean M Porter
• Portia Gordon LPC LLC
• Emma Frances Poryanda, MD
• Edmund Soriano Posadas, MD

• Clinical Social Worker in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.