Provider Demographics
NPI:1265300701
Name:VAN PORTER, CLAUDIA LORRAINE (MA,MSW,LCSW)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:LORRAINE
Last Name:VAN PORTER
Suffix:
Gender:F
Credentials:MA,MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 COLONIAL DR APT B
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1817
Mailing Address - Country:US
Mailing Address - Phone:973-747-4491
Mailing Address - Fax:
Practice Address - Street 1:9 COLONIAL DR APT B
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1817
Practice Address - Country:US
Practice Address - Phone:973-747-4491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-27
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056932001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical