Individual
LISA LYNN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1736 N PLANTATION DR, NIXA, MO 65714-6300
(417) 761-5495
(417) 761-5496
Mailing address
PO BOX 844715, KANSAS CITY, MO 64184-4715
(417) 761-5214
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2025044493
MO
1041C0700X
Clinical Social Worker
Primary
2025044493
MO
Other
Enumeration date
01/17/2024
Last updated
03/30/2026
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