SUSAN RENEE PORTER M.S.W., L.C.S.W.
NPI 1063628519
Social Worker - Clinical in Saint Louis, MO

Active since May 14, 2007
4231 SHENANDOAH AVE, SAINT LOUIS, MO 63110(314) 517-5644(314) 664-7848 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Renee Porter M.s.w., L.c.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN RENEE PORTER M.S.W., L.C.S.W. (NPI 1063628519) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (003581) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1063628519
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN RENEE PORTERCredential: M.S.W., L.C.S.W.
Location Address4231 SHENANDOAH AVESaint Louis, MO 63110-3512
Mailing Address4231 Shenandoah AveSaint Louis, MO 63110-3512 · (314) 517-5644 · Fax (314) 664-7848
Fax(314) 664-7848
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1063628519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MO · 003581
Definition
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.
4231 SHENANDOAH AVE, Saint Louis, MO 63110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Porter's NPI number?

The NPI number for Susan Porter is 1063628519. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Susan Porter located?

Susan Porter practices at 4231 Shenandoah Ave, Saint Louis, MO 63110. The listed phone number is (314) 517-5644.

What is Susan Porter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Susan Porter was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.