| Lori Elizabeth Porter, | |
|
1 Cedar Meadows Dr, Teaticket, MA 02536-5882 | |
| (260) 804-0294 | |
| Not Available |
| Full Name | Lori Elizabeth Porter |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1 Cedar Meadows Dr, Teaticket, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205410289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LICSW1140273 (Massachusetts) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| Entity Name | Northeast Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Elizabeth Porter, 1 Cedar Meadows Dr, Teaticket, MA 02536-5882 Ph: (260) 804-0294 | Lori Elizabeth Porter, 1 Cedar Meadows Dr, Teaticket, MA 02536-5882 Ph: (260) 804-0294 |
Beverly Ellen Sprague, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Saint Anns Ln, Teaticket, MA 02536 Phone: 508-801-2392 | |
Jessica Jordan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 143 Brick Kiln Rd, Teaticket, MA 02536 Phone: 203-675-0961 | |
Paulafaith Brown, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 279 Brick Kiln Rd, Teaticket, MA 02536 Phone: 508-388-7613 | |
Ellen D Weinick Silbert, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 275 Seaward Bnd, Teaticket, MA 02536 Phone: 860-575-4062 | |
Miss Lauren Gail Cavanaugh, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 279 Brick Kiln Rd, Teaticket, MA 02536 Phone: 508-388-7613 | |
Ms. Margaret Edwards, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 270 Teaticket Hwy, Teaticket, MA 02536 Phone: 508-540-2800 Fax: 508-540-2802 |