LYNN M PORTER (LCSW) – Clinical Social Worker, NPI 1013085158

LYNN M PORTER (LCSW) is a healthcare provider. based in Paia, Hawaii. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 44SC04706900 (NJ). The NPI Number for LYNN M PORTER (LCSW) is 1013085158

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
LYNN M PORTER (LCSW)
NPI
1013085158
Phone
(732) 299-7192
Address
285 HANA HWY
Enumeration Date
30 November 2006
Last Update Date
24 November 2024

Doctor Profile

Medical School Name
FORDHAM UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8085599100
Graduation Year
1997 (29 years ago)
PAC ID
0648604603
Group Practice PAC ID
0143715797
Professional Enrollment ID
I20191227000660
Address ID
HI967799746PA285XXHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

245 CLINICAL SOCIAL WORKER in HI

Provider Addresses for LYNN M PORTER (LCSW)

  • 285 HANA HWY

    PAIA, HI 967799746

    Phone: (732) 299-7192

    Type: Location

  • 417, Monmouth Avenue, Bradley Beach, Monmouth County, New Jersey, 07720, United States

    BRADLEY BEACH, NJ 077201148

    Phone: (732) 775-8590

    Type: Mailing

  • Railroad Avenue, Spring Lake, Monmouth County, New Jersey, 08750, United States

    SPRING LAKE, NJ 077622053

    Phone: (732) 775-8590

    Type: Location

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: 2019-12-27

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
I20191227000660IClinical Social WorkerHITBD

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 96779)

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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: 0143715797View full group profile
NameSpecialtyState
Marriage And Family TherapistHI
Clinical Social WorkerCA

Reviews

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Frequently asked questions

Does LYNN M PORTER (LCSW) have a public NPI I can cite?
Public records show LYNN M PORTER (LCSW) under NPI 1013085158.
Does the public listing show LYNN M PORTER (LCSW) as active?
LYNN M PORTER (LCSW)'s NPI record reflects an active status in NPPES.
What services align with LYNN M PORTER (LCSW)'s listing?
LYNN M PORTER (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is LYNN M PORTER (LCSW) tied to Paia, Hawaii?
If you are local to Paia, Hawaii, LYNN M PORTER (LCSW) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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