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Individual
SPENCER PORTER
Active
Individual
SPENCER PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05172
MD
171100000X
Acupuncturist
U272
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217863
KAISER
MD
01
—
312046
MDIPA,OPTIMUM CHOICE, MAM
MD
01
—
5606101
AETNA
MD
01
—
B8810001
CAREFIRST BCBS
MD
05
—
PO654173
—
MD
01
—
PVPB126765
APS HELATHCARE
MD
01
—
QS28
CAREFIRST BCBS
MD
Enumeration date
04/04/2007
Last updated
01/21/2026
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