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

ELIZABETH TRASK PORTER, LICSW

Active Sole Proprietor

ELIZABETH TRASK PORTER, LICSW is a Clinical Social Worker healthcare provider located in WATERTOWN, Massachusetts. NPI 1497233795 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WATERTOWN, MA

Registration Details

NPI Number
1497233795
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2018 (8.0602885826497 yrs)
Last Updated
Jul 30, 2018
License
1023127 (MA)
Sole Proprietor
Yes

Practice Information

Address
175 NORTH BEACON STREET
(LOWER SCHOOL PROGRAM)
WATERTOWN, MA, 024722790
Browse MA providers · Browse ZIP 02472
Phone
6179727287
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in WATERTOWN, MA

Name Credential NPI
MRS. MAY S CHIN MSW - LICSW 1972570844
MS. JANICE STUBBLEFIELD-TAVE MA, LICSW 1013952753
MS. AMY L CONWELL LICSW 1083630172
MS. HENRIETTA MIRIAM MENCO MSW 1811900301
MS. RITA R MOSS LICSW 1841303443
MR. JOEL W TEEVEN MSW, LICSW 1073609095
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.