Portia Pendleton, LMSW

NPI #1104374230 in Essex, Connecticut

Provider Information

NPI Number: 1104374230
Entity Type: Individual
Name: Portia Pendleton, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Sep 19, 2016
Last Updated: Nov 1, 2018

Practice Location

Address: 190 WESTBROOK RD
City: Essex
State: Connecticut
ZIP Code: 06426-1518
Phone: (860) 767-0147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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