PORSHA TEAL (LCSW) – Clinical Social Worker, NPI 1194454462

PORSHA TEAL (LCSW) is a healthcare provider. based in Manchester, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 12209 (CT). The NPI Number for PORSHA TEAL (LCSW) is 1194454462

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
PORSHA TEAL (LCSW)
NPI
1194454462
Phone
Not provided
Address
63 E CENTER ST
Enumeration Date
10 June 2022
Last Update Date
3 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032726007
Graduation Year
2017 (9 years ago)
PAC ID
8022531656
Group Practice PAC ID
3375602931
Professional Enrollment ID
I20250325000748
Address ID
CT064104506CH609XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,151 CLINICAL SOCIAL WORKER in CT

Provider Addresses for PORSHA TEAL (LCSW)

  • 63 E CENTER ST

    MANCHESTER, CT 060405221

    Phone:

    Type: Mailing

  • 65 SARGEANT ST

    HARTFORD, CT 061051450

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250325000748IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06040)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375602931View full group profile
NameSpecialtyState
Clinical PsychologistCT
Clinical Social WorkerCT
Clinical PsychologistUT
Clinical PsychologistCT
Clinical PsychologistCT
-CT
Clinical PsychologistCT
-CT
Clinical PsychologistFL
Clinical PsychologistUT

Reviews

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Frequently asked questions

What unique ID ties claims to PORSHA TEAL (LCSW)?
NPI 1194454462 is assigned to PORSHA TEAL (LCSW) under the national enumeration system.
Is PORSHA TEAL (LCSW)'s NPI currently valid?
The extract we use shows PORSHA TEAL (LCSW) as active.
What field does PORSHA TEAL (LCSW) work in?
You can think of PORSHA TEAL (LCSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for PORSHA TEAL (LCSW)?
We surface Manchester, Connecticut for PORSHA TEAL (LCSW) based on available NPPES addresses.
What if Manchester, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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