MEDICARE: LISA LYNN PORTER LMSW, MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	2025044493	MO

General Provider Information

NPI Number	:	1083475073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA LYNN PORTER LMSW, MSW

Provider Business Mailing Address
First Line	:	2305 W VILLAGE LN
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-4042
Country	:	US
Telephone Number	:	712-541-3327
Fax Number	:

Provider Business Practice Location Address
First Line	:	11016 E STATE HIGHWAY 76
Second Line	:
City	:	BRANSON WEST
State	:	MO
Zip	:	65737-9775
Country	:	US
Telephone Number	:	417-527-8877
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	10/20/2025

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1871690172 — JANE B STONNER APRN
Practice Location Address:

11016 E STATE HIGHWAY 76
BRANSON WEST, MO
65737-9775

Practice Phone: 417-272-0400
Practice Fax: 417-272-0428

1285806703 — WHITE OAK MEDICAL, INC
Practice Location Address:

11016 STATE HIGHWAY 76 , CLAYBOUGH PLAZA, STE 6
BRANSON WEST, MO
65737-9775

Practice Phone: 417-272-0505
Practice Fax: 417-272-3020

1215401633 — DARLENE MEYERS LMT
Practice Location Address:

11016 E STATE HIGHWAY 76 STE 21
BRANSON WEST, MO
65737-9775

Practice Phone: 417-272-1464
Practice Fax:

1467008599 — THE BROOK WELLNESS CENTER, INC
Practice Location Address:

11016 E STATE HIGHWAY 76
BRANSON WEST, MO
65737-9775

Practice Phone: 417-527-8877
Practice Fax:

1548964471 — RICHARD STALEY LPC
Practice Location Address:

11016 E STATE HIGHWAY 76
BRANSON WEST, MO
65737-9775

Practice Phone: 417-527-8877
Practice Fax:

Directions to “ LISA LYNN PORTER LMSW, MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.