MANDOLIN PORTER (NPI# 1780934240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780934240 |
| Entity Type | Individual |
| Full Name | MANDOLIN PORTER |
| Credential | LCSW |
| Practice Address |
7 Clayton Ave Cortland NY 13045-2501 |
| Practice Telephone | 6074285477 |
| Mailing Telephone | 6074285477 |
| Mailing Fax Number | 6077586116 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2017-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
084076-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS SOCIAL WORK LICENSE | 084076-1 | 01 |
| Street Address |
7 CLAYTON AVE |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821001579 | Cortland County County Treasurer | Psychologist | 7 Clayton Ave, Cortland, NY 13045-2501 | 2006-08-14 |
| 1174124341 | Angela Helms | Counselor | 7 Clayton Ave, Cortland, NY 13045-2501 | 2020-11-04 |
| 1689283111 | Jennifer Beach | Nurse Practitioner | 7 Clayton Ave, Cortland, NY 13045-2501 | 2020-07-30 |
| 1730737636 | Jesse R. Belton | Social Worker | 7 Clayton Ave, Cortland, NY 13045-2501 | 2019-09-04 |
| 1780241919 | Amber Guernsey | Social Worker | 7 Clayton Ave, Cortland, NY 13045-2501 | 2019-05-22 |
| 1316420144 | Maranda Mcfadden | Social Worker | 7 Clayton Ave, Cortland, NY 13045 | 2018-09-07 |
| 1639663966 | Sarah Chambers | Nurse Practitioner | 7 Clayton Ave, Cortland, NY 13045-2501 | 2018-06-20 |
| 1710438882 | Rebecca Petrie | Counselor | 7 Clayton Ave, Cortland, NY 13045-2501 | 2016-10-24 |
| 1528417300 | Deborah Bearman-tasman | Registered Nurse | 7 Clayton Ave, Cortland, NY 13045-2501 | 2016-06-13 |
| 1962856294 | Adrian J. Ballard | Social Worker | 7 Clayton Ave, Cortland, NY 13045-2501 | 2016-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528420346 | Megan Orr | Social Worker | 138 E Lark Ave, Cortland, IL 60112-4034 | 2016-03-22 |
| 1134442130 | Deborah Heather Loewe | Social Worker | 1710 Nys Rte 13, Cortland, NY 13045-9617 | 2010-03-04 |
| 1801040167 | Heidi E. Lieb-graney | Social Worker | 882 Rte 13 N, Cortland, NY 13045-3528 | 2008-11-12 |
| 1205059706 | Hans Peter Bump | Social Worker | 823 State Route 13, Cortland, NY 13045-8729 | 2007-04-11 |
| 1124167689 | Joseph Pullman | Social Worker | 73 Port Watson St, Cortland, NY 13045-3027 | 2007-02-05 |
| 1043306004 | Maureen Elaine Robinson | Social Worker | 49 Grant St, Cortland, NY 13045-2136 | 2006-10-05 |
| 1568558831 | Horizon House | Social Worker | 7 Clayton Avenue, Cortland, NY 13045 | 2006-10-05 |
| 1184663999 | Robert Michael Marcus | Social Worker | 153 S High St, Cortland, OH 44410-1450 | 2006-06-06 |
| 1821076894 | Karen Brady Dudgeon | Social Worker | 17-29 Main St 420, Cortland, NY 13045 | 2006-01-09 |
| 1851667877 | Andre T. Hankey | Social Worker | 7 Clayton Ave, Cortland, NY 13045-2501 | 2012-03-23 |
| Find all providers in CORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.