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

Porsche Carlisle

Individual provider Clinical Social Worker · NPI 1619615366

Porsche Carlisle is a Clinical Social Worker in Southgate, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
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Practice location Address checks out

13101 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 785-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24640 Orangelawn, Redford, MI 48239-1673 — (131) 385-0473

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801114368 (MI)

Record details

NPI number1619615366
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 23, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022
Mailing address24640 Orangelawn, Redford, MI 48239-1673

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