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

Nicole Porter, LCSW

Individual provider Clinical Social Worker · NPI 1053957092

Nicole Porter, LCSW is a Clinical Social Worker in Richardson, Texas. Qualified in 2007, 19 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
19
Licensed in
TX
In the registry since
2019
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

600 W Campbell Rd Ste 1
Richardson, TX 75080-3357
Phone: (847) 903-5604
Fax: (224) 788-5112
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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 53658 (TX)

Record details

NPI number1053957092
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 25, 2019
Last updated in NPPESNovember 25, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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