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MS. ELIZABETH PORTER LCSW
NPI 1619216389
Social Worker - Clinical in Fort Wayne, IN

Active since January 31, 2013Opted out of Medicare · through Apr 1, 2027
4109 W JEFFERSON BLVD, STE A, FORT WAYNE, IN 46804(260) 486-5251(260) 486-5058 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Elizabeth Porter Lcsw NPPES

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

MS. ELIZABETH PORTER LCSW (NPI 1619216389) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34007078A) and active in the NPI registry since January 2013. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1619216389
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. ELIZABETH PORTERCredential: LCSW
Location Address4109 W JEFFERSON BLVD, STE AFort Wayne, IN 46804-8694
Mailing Address4109 W Jefferson Blvd, Ste AFort Wayne, IN 46804-8694 · (260) 486-5251 · Fax (260) 486-5058
Phone(260) 486-5251
Fax(260) 486-5058
Sole ProprietorNo
Enumeration DateJanuary 31, 2013
Last NPPES UpdateApril 3, 2024
✔ NPI 1619216389 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 IN · 34007078A
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 33006395A (IN)
4109 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Elizabeth Porter Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

MS. TAMARIN L ANGLIN LSCSW, ACSW
Social Worker (Clinical)
4109 W JEFFERSON BLVD, STE A
FORT WAYNE, IN 46804
Allen County (260) 486-5251
MS. ANGELA WALKER LSCW, LCAC
Social Worker (Clinical)
4109 W JEFFERSON BLVD, STE A
FORT WAYNE, IN 46804
Allen County (260) 486-5251
ADAM ROTH CO
Prosthetic/Orthotic Supplier
4109 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8886
JASON TIMMER CPO
Prosthetic/Orthotic Supplier
4109 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8886
MICHAEL PEREZ CP
Prosthetic/Orthotic Supplier
4109 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8886
JEFF WELLS CPO
Prosthetic/Orthotic Supplier
4109 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (866) 633-3961
MS. ALYSSA HAMILTON LSW, LCAC-A
Social Worker
4109 W JEFFERSON BLVD, STE A
FORT WAYNE, IN 46804
Allen County (260) 486-5251
MS. JEANNE HARBER PORTER LCSW, ACSW
Social Worker (Clinical)
4109 W JEFFERSON BLVD, STE A
FORT WAYNE, IN 46804
Allen County (260) 486-5251

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 Elizabeth Porter's NPI number?

The NPI number for Elizabeth Porter is 1619216389. It was assigned to this individual provider in the NPPES registry on January 31, 2013.

Where is Elizabeth Porter located?

Elizabeth Porter practices at 4109 W Jefferson Blvd Ste A, Fort Wayne, IN 46804. The listed phone number is (260) 486-5251.

What is Elizabeth Porter's specialty?

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

Is Elizabeth Porter enrolled in Medicare?

No. Elizabeth Porter has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Elizabeth Porter accept?

Health plans from Providence Health Plan and UnitedHealthcare list Elizabeth Porter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Porter was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.