JUSTIN PORTER (MSW, LSW) – Clinical Social Worker, NPI 1265946776

JUSTIN PORTER (MSW, LSW) is a healthcare provider. based in Columbus, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LSW. They hold a License No. S.1600960 (OH). The NPI Number for JUSTIN PORTER (MSW, LSW) is 1265946776

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN PORTER (MSW, LSW)
NPI
1265946776
Phone
(614) 607-0980
Address
2060 N High St Ste N
Enumeration Date
20 November 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7406870042
Graduation Year
2016 (10 years ago)
PAC ID
9739432980
Group Practice PAC ID
3577585819
Professional Enrollment ID
I20181105003076
Address ID
OH431303993LA106XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for JUSTIN PORTER (MSW, LSW)

  • 2060 N High St Ste N

    Columbus, OH 432011139

    Phone: (614) 607-0980

    Type: Location

  • 318, West Church Street, Newark, Licking County, Ohio, 43055, United States

    NEWARK, OH 430555050

    Phone: (740) 281-1777

    Type: Location

  • 380 W NATIONAL DR APT A

    NEWARK, OH 430554845

    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: 2018-11-05

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
I20181105003076IClinical Social WorkerOHTBD

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 43201)

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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: 3577585819View full group profile
NameSpecialtyState
Mental Health CounselorOH
Clinical Social WorkerOH
-AZ
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Clinical PsychologistOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What unique ID ties claims to JUSTIN PORTER (MSW, LSW)?
NPI 1265946776 is assigned to JUSTIN PORTER (MSW, LSW) under the national enumeration system.
Is JUSTIN PORTER (MSW, LSW) active in the national directory?
JUSTIN PORTER (MSW, LSW)'s public NPI profile is in an active state.
Does JUSTIN PORTER (MSW, LSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for JUSTIN PORTER (MSW, LSW). Clinical services aligned with this taxonomy classification.
Where does public data place JUSTIN PORTER (MSW, LSW)?
The snapshot lists Columbus, Ohio for JUSTIN PORTER (MSW, LSW); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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