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MS. CHARLENE MAYSON PORTNOY LICSW LMFT
NPI 1578691606
Social Worker - Clinical in St Louis Park, MN

Active since March 01, 2007PECOS Enrolled
6465 WAYZATA BLVD STE 355, ST LOUIS PARK, MN 55426(612) 760-2859(612) 926-8915 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Ms. Charlene Mayson Portnoy Licsw Lmft NPPES

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

MS. CHARLENE MAYSON PORTNOY LICSW LMFT (NPI 1578691606) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (01769) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578691606
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CHARLENE MAYSON PORTNOYCredential: LICSW LMFT
Location Address6465 WAYZATA BLVD STE 355St Louis Park, MN 55426-1730
Mailing Address6465 Wayzata Blvd Ste 355St Louis Park, MN 55426-1730 · (612) 760-2859 · Fax (612) 926-8915
Phone(612) 760-2859
Fax(612) 926-8915
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateSeptember 20, 2016
✔ NPI 1578691606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 01769
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.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 0361 (MN)
6465 WAYZATA BLVD STE 355, St Louis Park, MN 55426
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Other Identifiers 2

Other6299260MN · Medica
Other158T5P0MN · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Charlene Mayson Portnoy Licsw Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLENE PORTNOY LLC
Social Worker (Clinical)
6465 WAYZATA BLVD STE 355
ST LOUIS PARK, MN 55426
Hennepin County (612) 760-2859

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 Charlene Portnoy's NPI number?

The NPI number for Charlene Portnoy is 1578691606. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Charlene Portnoy located?

Charlene Portnoy practices at 6465 Wayzata Blvd Ste 355, St Louis Park, MN 55426. The listed phone number is (612) 760-2859.

What is Charlene Portnoy's specialty?

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

Is Charlene Portnoy enrolled in Medicare?

Yes. Charlene Portnoy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlene Portnoy was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.