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

Porter Charles, LICSW

Individual provider Clinical Social Worker · NPI 1710555891

Porter Charles, LICSW is a Clinical Social Worker in Cambridge, Massachusetts. Registered with an NPI since 2021.

In the registry since
2021
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

160 Alewife Brook Pkwy # 1064
Cambridge, MA 02138-1102
Phone: (508) 263-0864
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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

Record details

NPI number1710555891
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address160 Alewife Brook Pkwy # 1064, Cambridge, MA 02138-1102

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