Healthcare Provider Details

I. General information

NPI: 1861313710
Provider Name (Legal Business Name): KATE PORCELLI THERAPY PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 LAKEVIEW RD
SOUTH HERO VT
05486-4601
US

IV. Provider business mailing address

PO BOX 62
SOUTH HERO VT
05486-0062
US

V. Phone/Fax

Practice location:
  • Phone: 202-617-1546
  • Fax:
Mailing address:
  • Phone: 202-617-1546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE ELIZABETH PORCELLI
Title or Position: OWNER
Credential: MSW, LICSW
Phone: 202-617-1546