Portia Pendleton, LMSW is a
Social Worker - Clinical based in Essex, Connecticut. Portia Pendleton is licensed to practice in Connecticut (license number LMSW4442) and her current practice location is
190 Westbrook Rd, Essex, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 767-0147.
NPI number for Portia Pendleton is 1104374230 and her current mailing address is 255 Hempstead St, New London, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104374230.
Healthcare Provider's Profile
Full Name | Portia Pendleton |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 190 Westbrook Rd, Essex, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104374230
- Provider Enumeration Date: 09/19/2016
- Last Update Date: 11/01/2018
Medical Identifiers
Medical identifiers for Portia Pendleton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104374230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LMSW4442 (Connecticut) | 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. Portia Pendleton 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 |
Portia Pendleton, LMSW 255 Hempstead St, New London, CT 06320-6204 Ph: (860) 443-2896 | Portia Pendleton, LMSW 190 Westbrook Rd, Essex, CT 06426-1518 Ph: (860) 767-0147 |
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