SPENCER PORTER (NPI# 1477675908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477675908 |
| Entity Type | Individual |
| Full Name | SPENCER PORTER |
| Credential | LCSW-C |
| Practice Address |
6935 Laurel Ave Suite 208 Takoma Park MD 20912-4413 |
| Practice Telephone | 3018912737 |
| Practice Fax Number | 3018912132 |
| Mailing Telephone | 3018912737 |
| Mailing Fax Number | 3018912737 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
05172 | MD | Behavioral Health & Social Service Providers |
| N | 171100000X | Acupuncturist | U272 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BCBS | QS28 | 01 |
| MD | AETNA | 5606101 | 01 |
| MD | PO654173 | 05 | |
| MD | APS HELATHCARE | PVPB126765 | 01 |
| MD | CAREFIRST BCBS | B8810001 | 01 |
| MD | MDIPA,OPTIMUM CHOICE, MAM | 312046 | 01 |
| MD | KAISER | 217863 | 01 |
| Street Address |
6935 LAUREL AVE SUITE 208 |
| City | TAKOMA PARK |
| State | MD |
| Zip Code | 20912-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083718514 | David Murray Blaiwas | Acupuncturist | 6935 Laurel Ave, Suite 203, Takoma Park, MD 20912-4413 | 2006-09-13 |
| 1356748891 | Jamie Wick L.ac. | Acupuncturist | 6935 Laurel Ave, Suite 203, Takoma Park, MD 20912-4413 | 2014-11-26 |
| 1073856381 | Helen Ezinne Mettu | Home Health Aide | 6935 Laurel Ave, Suite 202, Takoma Park, MD 20912-4413 | 2013-04-04 |
| 1114266533 | Geeta Dsouza | Acupuncturist | 6935 Laurel Ave, Suite 203, Takoma Park, MD 20912-4413 | 2013-02-05 |
| 1376880724 | Enrique Pablo Gochicoa | Acupuncturist | 6935 Laurel Ave, Suite 203, Takoma Park, MD 20912-4413 | 2013-01-04 |
| 1467588632 | Deborah Ann Stromberg | Acupuncturist | 6935 Laurel Ave, 203, Takoma Park, MD 20912-4413 | 2007-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898426 | Takoma Park Gynecology LLC | Advanced Practice Midwife | 7050 Carroll, Suite 201, Takoma Park, MD 20912 | 2020-10-15 |
| 1669094470 | Alba Oliver-cephas | Counselor | 7610 Carroll Ave Suite 200, Takoma Park, MD 20912 | 2020-05-14 |
| 1689173650 | Fate Geleto | Home Health Aide | 6733 Newhampshire Ave#410, Takoma Park, MD 20912 | 2018-02-06 |
| 1437658549 | Hanna I-hwa Schmittat | Acupuncturist | 7120 Carroll Ave, Takoma Park, MD 20912 | 2018-02-04 |
| 1467960443 | Elaborate Home Health Care Services | Clinic/Center | 6480 New Hampshire Ave Ste 301b, Takoma Park, MD 20912 | 2018-01-12 |
| 1093223174 | Walinjom Feh Nanette | Home Health Aide | 664 Fairview Ave, Takoma Park, MD 20912 | 2018-01-11 |
| 1902312978 | Phucho Philomina | Home Health | 6731 New Hampshire Avenue, 601, Takoma Park, MD 20912 | 2017-12-28 |
| 1154848075 | Madge Richards Quesenberry | Counselor | 7600 Flower Avenue, Washington Adventist University Counseling Center, Takoma Park, MD 20912 | 2017-08-23 |
| 1083061386 | Arlette Ankouong | Nurse's Aide | 766 Fairview Ave, Apt 2, Takoma Park, MD 20912 | 2016-05-17 |
| 1275988487 | Betrand Anyam | Home Health Aide | 777 Maple Avenue, Apt 1101, Takoma Park, MD 20912 | 2016-04-26 |
| Find all providers in zip 20912 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510670 | Erika Frankel | Social Worker | 7214 Trescott Ave, Takoma Park, MD 20912-6404 | 2020-05-27 |
| 1962037549 | Judith Lynn Mounty Lcsw LLC | Social Worker | 508 Lincoln Ave, Takoma Park, MD 20912-5802 | 2020-03-04 |
| 1710463294 | Anne K Eckman | Social Worker | 24 Manor Cir Apt 106, Takoma Park, MD 20912-4553 | 2018-07-17 |
| 1326572298 | Kathleen Garber | Social Worker | 22 Sherman Ave, Takoma Park, MD 20912-5742 | 2017-04-17 |
| 1700338886 | Denetra Gary | Social Worker | 8109 Garland Ave, Apt 2, Takoma Park, MD 20912-6851 | 2016-10-25 |
| 1679021570 | Holistic Therapy LLC | Social Worker | 7034 Carroll Ave Ste 1, Takoma Park, MD 20912-4434 | 2016-09-20 |
| 1386003010 | Sharon Light | Social Worker | 708 Auburn Ave, Takoma Park, MD 20912-5853 | 2016-02-23 |
| 1326404575 | Francis Daniel Palliparambil | Social Worker | 7112 Willow Ave, Takoma Park, MD 20912-4513 | 2016-01-04 |
| 1437523289 | Peter Aron | Social Worker | 7212 Willow Ave, Takoma Park, MD 20912-4323 | 2015-11-17 |
| 1922482934 | Brian Higgins | Social Worker | 7205 Trescott Ave, Takoma Park, MD 20912-6403 | 2015-07-20 |
| Find all providers in TAKOMA PARK | ||||
| City | TAKOMA PARK |
| Zip Code | 20912 |
Please comment or provide details below to improve the information on SPENCER PORTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.