Jennifer Lynn Porter, LCSW | |
740 Mckinley Ave, Kellogg, ID 83837-2693 | |
(208) 783-1267 | |
(844) 807-3782 |
Full Name | Jennifer Lynn Porter |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 740 Mckinley Ave, Kellogg, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962889477 | NPI | - | NPPES |
1962889477 | Medicaid | ID | |
2113084 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-43510 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jennifer Lynn Porter, LCSW Po Box 1387, Hayden, ID 83835-1387 Ph: (208) 783-1267 | Jennifer Lynn Porter, LCSW 740 Mckinley Ave, Kellogg, ID 83837-2693 Ph: (208) 783-1267 |
Amanda Morse, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14 Emerson Ln, Kellogg, ID 83837 Phone: 208-783-0660 | |
Ms. Deborah K Scudder, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Kellogg, ID 83837 Phone: 208-784-1283 Fax: 208-784-0151 |