| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PORTER CHARLES | 1710555891 | 2024-03-09 |
Porter Charles is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710555891. Registration indicates Porter Charles is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Porter Charles LICSW |
| Practice Office Address | 160 ALEWIFE BROOK PKWY # 1064 CAMBRIDGE, MA US |
| Practice Office Telephone | 5082630864 |
| Mailing Address | 160 ALEWIFE BROOK PKWY # 1064 CAMBRIDGE, MA 021381102 US |
| Business Telephone | 5082630864 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker |