Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CHARLENE MAYSON PORTNOY, LICSW LMFT
Active Sole ProprietorMS. CHARLENE MAYSON PORTNOY, LICSW LMFT is a Clinical Social Worker healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1578691606 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1578691606
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2007 (19.45419944237 yrs)
- Last Updated
- Sep 20, 2016
- Licenses
-
01769 (MN)0361 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6465 WAYZATA BLVD STE 355ST LOUIS PARK, MN, 554261730Browse MN providers · Browse ZIP 55426
- Phone
- 6127602859
- Fax
- 6129268915
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Marriage & Family Therapist
Other Clinical Social Worker Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| MS. ALLYSON M HAYWARD | L.I.C.S.W. | 1275516817 |
| MS. NOREEN KEILTY | LICSW | 1720062631 |
| MS. TANYA KERN | L.I.C.S.W | 1699759365 |
| MR. GEORGE V BABOILA | MSW, LICSW | 1073590543 |
| ANTHONY WILSON | — | 1659358562 |
| PAUL ZELUBOWSKI | — | 1124006077 |
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.