Caitlin Patricia Porter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05890300 Issued in NJ

Practice address

1387 Chews Landing Rd
Laurel Springs, NJ 08021-2760

Phone

(855) 258-7728

NPI assigned

Jun 1, 2023

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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

• Harmony Bay Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel Springs, NJ
  • NPI 1124663059
  NPD

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1972296291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MANHEIM AVE",
            "city": "OAKLYN",
            "state": "NJ",
            "postal_code": "081071411",
            "telephone_number": "856-577-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 CHEWS LANDING RD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212760",
            "telephone_number": "855-258-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CAITLIN",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05890300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Kinyuy Ngwa, NURSE PRACTITIONER
• Odyssey Healthcare Holding Company
• Andrea Elisa Papa-Molter, D.O
• Debra Pilzer, LPC
• John Joseph Pirro, O.D.
• Brett James Prate, O.D.
• James A Prate, O.D.
• Qcare Family Medicine LLC
• Kristen Ivette Ramos, PT
• Recover Physical Therapy and Wellness

• Clinical Social Worker in Laurel Springs, NJ
• Providers in Laurel Springs, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.