Individual provider · Type 1 NPI
Clyte Lydia Portis, LCSW, LISW-CP
Clinical Social Worker · Fort Gordon, GA
Practice location
254 41st St, Bldg 40709
Fort Gordon, GA 30905-5918
Fax (706) 787-1099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | CSW003792 (GA) |
| Clinical Social Worker Primary | 1041C0700X | CSW003792 (GA) |
| School Social Worker | 1041S0200X | CSW003792 (GA) |
Clinical Social Worker: 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 interpers…
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About NPI 1447423157
Clyte Lydia Portis, LCSW, LISW-CP's National Provider Identifier is 1447423157, issued on Apr 2, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Gordon, GA. The record was last updated on Oct 29, 2013.