Ms. Theresa A. Porter LICSW
Social Worker in Bismarck, ND(View on Map)
Full Name
Ms. Theresa Ann Porter LICSW
NPI Number
1386755023
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/31/2006
Specialties
(Taxonomies)Licenses
State
North Dakota
License Number
2020
Contact
Information
Purpose
Mailing
Location
Address
600 SOUTH 2ND STREET
600 SOUTH 2ND STREET
City
Bismarck
Bismarck
State
ND
ND
Postal Code
58504-5729
58504-5729
Country
US
US
Telephone Number
(701) 258-3780
(701) 258-3780
Identifiers
Identifier
26413
BCBS 26413
PIN 19146
19146
HP65337
Identifier State
ND
ND
ND
ND
Unknown
Identifier Issuer
BCBS
MSW,LICSW
Unknown
Unknown
HEALTH PARTNERS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/03/2010