PORTA VERUM
NPI 1740534239
Social Worker - Clinical in San Diego, CA

Active since November 05, 2012
2630 1ST AVE, SUITE 205, SAN DIEGO, CA 92103(619) 866-4620(619) 324-1023 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Porta Verum NPPES

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

PORTA VERUM (NPI 1740534239) is a healthcare organization registered as a clinical in San Diego, California and active in the NPI registry since November 2012. The organization lists Paula Kettula, Owner, as its authorized official.

NPPES Registry Identity

NPI1740534239
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePORTA VERUM
Location Address2630 1ST AVE, SUITE 205San Diego, CA 92103-6599
Mailing Address2630 1st Ave, Suite 205San Diego, CA 92103-6599 · (619) 866-4620 · Fax (619) 324-1023
Fax(619) 324-1023
Organization SubpartNo
Authorized OfficialPaula KettulaOwner · (619) 866-4620
Enumeration DateNovember 5, 2012
Last NPPES UpdateNovember 18, 2013
NPI 1740534239 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 CA · 25403
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.

2630 1ST AVE, San Diego, CA 92103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Clinical Neuropsychologist
2630 1ST AVE
SAN DIEGO, CA 92103
Counselor (Mental Health)
2630 1ST AVE, SUITE 208
SAN DIEGO, CA 92103
Dentist
2630 1ST AVE
SAN DIEGO, CA 92103
Dietitian, Registered
2630 1ST AVE
SAN DIEGO, CA 92103
Marriage & Family Therapist
2630 1ST AVE, SUITE 205
SAN DIEGO, CA 92103
Marriage & Family Therapist
2630 1ST AVE
SAN DIEGO, CA 92103
Psychiatry & Neurology (Psychiatry)
2630 1ST AVE
SAN DIEGO, CA 92103
Dentist
2630 1ST AVE
SAN DIEGO, CA 92103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740534239, enumerated as an "organization" on November 05, 2012.

The provider is located at 2630 1ST AVE SUITE 205 SAN DIEGO, CA 92103 and the phone number is (619) 866-4620.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.