Mr Thomas Friedl Porter, LICSW in Southbridge, MA

Mr Thomas Friedl Porter, LICSW - Medicare Counselor in Southbridge, MA

Mr Thomas Friedl Porter, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Southbridge, Massachusetts. His current practice location is 29 Pine Street, Southbridge, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 765-9167.

Mr Thomas Friedl Porter is licensed to practice in Massachusetts (license number 102096) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770564551.

Contact Information

	Mr Thomas Friedl Porter, LICSW
	29 Pine Street, Southbridge, MA 01550
	(508) 765-9167
	(508) 764-2462

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Thomas Friedl Porter
Gender	Male
Speciality
Experience	Years
Location	29 Pine Street, Southbridge, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Thomas Friedl Porter attended and graduated from in

NPI Data:

NPI Number: 1770564551
Provider Enumeration Date: 11/09/2005
Last Update Date: 06/15/2011

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Thomas Friedl Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770564551	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	102096 (Massachusetts)	Secondary
1041C0700X	Social Worker - Clinical	102096 (Massachusetts)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thomas Friedl Porter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Thomas Friedl Porter, LICSW 29 Pine Street, Southbridge, MA 01550 Ph: (508) 765-9167	Mr Thomas Friedl Porter, LICSW 29 Pine Street, Southbridge, MA 01550 Ph: (508) 765-9167