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

Shaquasa Porter

Individual provider Clinical Social Worker · NPI 1710848403

Shaquasa Porter is a Clinical Social Worker in Middlebury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2025.

Licensed in
CT
In the registry since
2025

Practice location Address checks out

900 Straits Tpke Ste C107
Middlebury, CT 06762-2865
Phone: (475) 235-9743
Fax: (203) 886-1181
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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 011432 (CT)

Record details

NPI number1710848403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 21, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address900 Straits Tpke Ste C107, Middlebury, CT 06762-2865

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