Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chad Michael Porter, LCSW

Individual provider Clinical Social Worker · NPI 1649590308

Chad Michael Porter, LCSW is a Clinical Social Worker in Idaho Falls, Idaho. Qualified in 2011, 15 years ago. Practices with Luke and Spencer Behavioral Health PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

855 N Capital Ave Ste 1
Idaho Falls, ID 83402-3405
Phone: (208) 552-0855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW33747 (ID)

Record details

NPI number1649590308
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 4, 2010
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Luke And Spencer Behavioral Health Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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