Individual
JERMAINE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
186 PROVIDENCE ST, WEST WARWICK, RI 02893-2508
(401) 615-2800
Mailing address
186 PROVIDENCE ST, WEST WARWICK, RI 02893-2508
(401) 615-2800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03304
RI
Other
Enumeration date
07/24/2023
Last updated
08/07/2025
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