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NPI Code Detail

MEDICARE: BRITTNEY S PORTALA MSW, LISW

MEDICARE:   BRITTNEY S PORTALA  MSW, LISW
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
11041C0700XClinical Social WorkerI.2406034OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235757501
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNEY S PORTALA MSW, LISW
Provider Business Mailing Address
First Line : 10715 PARDEE RD
Second Line :
City : TAYLOR
State : MI
Zip : 48180-3530
Country : US
Telephone Number : 734-344-7432
Fax Number : 734-344-7431
Provider Business Practice Location Address
First Line : 3450 W CENTRAL AVE STE 122
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1421
Country : US
Telephone Number : 419-210-3660
Fax Number : 734-344-7432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2020
Last Update Date : 01/21/2026

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