Ms Mary Vivian Porter, LCSW LPC is a
Social Worker - Clinical based in Flower Mound, Texas. Ms Mary Vivian Porter is licensed to practice in Texas (license number 4222) and her current practice location is
6021 Morriss Road, Suite 110b, Flower Mound, Texas. She can be reached at her office (for appointments etc.) via phone at
(972) 420-8834.
NPI number for Ms Mary Vivian Porter is 1700924016 and her current mailing address is 6021 Morriss Road, Suite 110b, Flower Mound, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700924016.
Healthcare Provider's Profile
Full Name | Ms Mary Vivian Porter |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6021 Morriss Road, Flower Mound, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700924016
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Mary Vivian Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700924016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 08339 (Texas) | Primary |
1041C0700X | Social Worker - Clinical | 4222 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Vivian Porter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Mary Vivian Porter, LCSW LPC 6021 Morriss Road, Suite 110b, Flower Mound, TX 75028-3764 Ph: (972) 420-8834 | Ms Mary Vivian Porter, LCSW LPC 6021 Morriss Road, Suite 110b, Flower Mound, TX 75028-3764 Ph: (972) 420-8834 |
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