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

MS. Theresa Ann Porter, LICSW

Individual provider Clinical Social Worker · NPI 1386755023

MS. Theresa Ann Porter, LICSW is a Clinical Social Worker in Bismarck, North Dakota. Qualified in 1999, 27 years ago. Practices with Nuvation Health Services PC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
27
Licensed in
ND
In the registry since
2006
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

600 S 2nd St Ste 201
Bismarck, ND 58504-5729
Phone: (701) 258-3780
Fax: (701) 258-6431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 2020 (ND)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2020 (ND)

Record details

NPI number1386755023
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMarch 3, 2010

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Nuvation Health Services Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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