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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB PORTER, LICSW

Active

JACOB PORTER, LICSW is a Clinical Social Worker healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1326792946 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MINNEAPOLIS, MN

Registration Details

NPI Number
1326792946
Provider Type
Individual
Gender
Male
NPI Issued
Feb 11, 2022 (4.4942618881556 yrs)
Last Updated
Feb 11, 2022
License
28211 (MN)

Practice Information

Address
2312 S 6TH ST
MINNEAPOLIS, MN, 554541336
Browse MN providers · Browse ZIP 55454
Phone
6126726999
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in MINNEAPOLIS, MN

Name Credential NPI
ANN P GILLIGAN MA, LICSW 1902807886
KARYN MARIE ERTEL LICSW 1932184504
MARY C VOSS 1174509970
MARTHA SUSAN CARTER LICSW 1902883283
MS. SHERYL A BROWN MSW, LICSW 1497732440
MRS. MARJORE IRENE THOMPSON LICSW 1184694101
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.