Individual provider · NPI-1
Dr. Rasha Kamil Portis, LCSW
Social Worker, Clinical · Ellenwood, GA
NPI number1336705177
StatusActive
Last updated in NPPESAug 13, 2026
Details
- NPI
- 1336705177
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rasha Kamil Portis
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2019
- Certification date
- Aug 13, 2026
- Last updated
- Aug 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW004873 | GA | Yes |
| 1041C0700X | Social Worker, Clinical | 103909 | CA |
Practice location
5514 Swanson RdEllenwood, GA 30294-3857
Phone 404-889-7323
Mailing address
5514 Swanson RdEllenwood, GA 30294-3857
Phone 404-889-7323
Other practice locations
5201 Great America Pkwy
Santa Clara, CA 95054-1122
Santa Clara, CA 95054-1122
Phone 404-889-7323
3424 Peachtree Rd Ne Ste 2200
Atlanta, GA 30326-1156
Atlanta, GA 30326-1156
Phone 323-205-7088 · Fax 833-419-0181
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