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

Mrs. Vivian Port, LCSW

Individual provider Clinical Social Worker · NPI 1497981245

Mrs. Vivian Port, LCSW is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
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

903 Park Avenue 11B
New York, NY 10021-0360 Not confirmed with CMS for 17 years — call before visiting
Phone: (212) 744-8379
Fax: (212) 744-8379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R010148-1 (NY)

Record details

NPI number1497981245
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 8, 2009
Last updated in NPPESJune 8, 2009

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