GREGORY PORTER (NPI# 1861045718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861045718 |
| Entity Type | Individual |
| Full Name | GREGORY PORTER |
| Credential | LCSW |
| Practice Address |
1300 E Center St Provo UT 84606-3554 |
| Mailing Address |
Po Box 270 Provo UT 84603-0270 |
| Practice Telephone | 8013444400 |
| Mailing Telephone | 8013444400 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5326716-3501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790996213 | Gregory James Porter Sr. | Internal Medicine | 1701 W St Marys, Suite C117, Tucson, AZ 85745 | 2007-05-25 |
| 1316962350 | Gregory G Porter | Otolaryngology | 1165 S Dora St Ste C2, Ukiah, CA 95482-6353 | 2006-07-12 |
| 1790741262 | Gregory J Porter | Anesthesiology | 400b Sierra College Dr, Grass Valley, CA 95945-5089 | 2006-04-25 |
| 1053390450 | Gregory Porter | Physician Assistant | 707 Chestnut St, South Charleston, WV 25309-2003 | 2006-01-13 |
| 1326521618 | Gregory Alexander Porter | Physical Therapy Assistant | 44656 Mound Rd, Sterling Heights, MI 48314-1322 | 2018-09-12 |
| 1548327323 | Gregory Porter | Anesthesiology | 800 Biesterfield Rd, Dept of Anesthesia, Elk Grove Village, IL 60007-3311 | 2007-01-02 |
| Street Address |
1300 E CENTER ST |
| City | PROVO |
| State | UT |
| Zip Code | 84606-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811978620 | State of Utah | Psychiatric Hospital | 1300 E Center St, Provo, UT 84606-3554 | 2005-11-09 |
| 1053921536 | Brett Mortensen | Counselor | 1300 E Center St, Provo, UT 84606-3554 | 2020-08-09 |
| 1265051262 | Alrae Snyder | Clinical Nurse Specialist | 1300 E Center St, Provo, UT 84606-3554 | 2020-04-10 |
| 1538710207 | Benjamin Roos | Psychologist | 1300 E Center St, Provo, UT 84606-3554 | 2019-09-24 |
| 1528611092 | Keshia Bowers | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-23 |
| 1235782756 | Allison Mckay Shiffler | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-23 |
| 1386297893 | Delanie Doyle | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-23 |
| 1366095218 | Courtney Archer | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-19 |
| 1396398244 | Lindsay Gonzalez | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-19 |
| 1528611472 | Kelsey Fraser | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
| 1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
| 1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
| Find all providers in zip 84606 | ||||
| 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 |
|---|---|---|---|---|
| 1154943868 | Joy Bouchard | Social Worker | 1933 N 1120 W, Provo, UT 84604-1044 | 2020-05-15 |
| 1275181596 | Karmen Tuivai | Social Worker | 1507 N University Ave Ste 150, Provo, UT 84604-2657 | 2019-08-29 |
| 1144876798 | Marilyn Taylor Morgan | Social Worker | 1765 N 1550 E, Provo, UT 84604-5710 | 2019-08-09 |
| 1700379369 | Building Beginnings Recovery | Social Worker | 286 S 600 E Ste A, Provo, UT 84606-4780 | 2018-06-08 |
| 1922555093 | Scott Parker | Social Worker | 63 N 300 E, Provo, UT 84606-3241 | 2016-09-07 |
| 1316348394 | Mary Reas | Social Worker | 225 S 300 E, Provo, UT 84606-4743 | 2014-09-10 |
| 1053721399 | Brigham Young | Social Worker | 1190 N 900 E Ste 204, Provo, UT 84604-3536 | 2014-05-07 |
| 1902221328 | Christine Lindsey | Social Worker | 2230 N University Pkwy Ste 7e, Provo, UT 84604-6701 | 2014-02-21 |
| 1447671896 | Cory Virgin | Social Worker | 558 N 2310 W, Provo, UT 84601-7253 | 2014-01-01 |
| 1912345877 | Kate Aryn Edwards | Social Worker | 161 W 400 S Apt 6, Provo, UT 84601-4519 | 2013-06-12 |
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| 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.