Edward Porter
Edward Porter is a Clinical Social Worker in Tampa, Florida. Qualified in 2022, 4 years ago. Practices as a sole proprietor.
- Years since qualifying
- 4
- In the registry since
- 2023
Practice location Address checks out
5707 N 22nd StTampa, FL 33610-4350
Phone: (813) 239-8069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1275219446 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2023 |
| Last updated in NPPES | June 23, 2023 |
| Certification date | June 23, 2023 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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