Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan Mary Self-Portwine, LCSW

Individual provider Clinical Social Worker · NPI 1407195753

Susan Mary Self-Portwine, LCSW is a Clinical Social Worker in House Springs, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2013
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

7080 Rivermont Trl
House Springs, MO 63051-2081
Phone: (314) 643-6990
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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 005014 (MO)

Record details

NPI number1407195753
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 6, 2013
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024

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