Individual provider · Type 1 NPI

Mandolin Porter, LCSW

Clinical Social Worker · Cortland, NY

NPI number 1780934240 Active

Practice location

111 Port Watson St
Cortland, NY 13045-3185

Mailing address

3700 State Route 41A
Moravia, NY 13118-2233

Other practice locations

  • 7 S Lewis St, Auburn, NY 13021-2707 · (315) 412-3625
  • 121 North St, Auburn, NY 13021-1826 · (315) 412-3625

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X084076-1 (NY)

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 1780934240

Mandolin Porter, LCSW's National Provider Identifier is 1780934240, issued on Sep 12, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cortland, NY. The record was last updated on Aug 11, 2026.