Mandolin Porter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084076-1 Issued in NY

Practice address

111 Port Watson St
Cortland, NY 13045-3185

Phone

(607) 428-5477

NPI assigned

Sep 12, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cortland County County TreasurerGroup PAC ID 3173427028, 17 clinicians

Sally Griswold LCSW PLLCGroup PAC ID 0244554889, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mporter@cortlandcountymentalhealth.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cortland County County Treasurer

  • Clinical Social Worker
  • Cortland, NY
  • NPI 1821001579
  Medicare reassignment Care Compare group NPD
• Sally Griswold LCSW PLLC

  • Community/Behavioral Health Agency
  • Auburn, NY
  • NPI 1457775967
  Medicare reassignment Care Compare group NPD
• Cortland County Health Department Nursing Clinics

  • Medical Specialty Clinic/Center
  • Cortland, NY
  • NPI 1821165416
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1780934240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 STATE ROUTE 41A",
            "city": "MORAVIA",
            "state": "NY",
            "postal_code": "131182233",
            "telephone_number": "315-406-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PORT WATSON ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453185",
            "telephone_number": "607-428-5477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 S Lewis St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130212707",
            "country_code": "US",
            "telephone_number": "315-412-3625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 North St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211826",
            "country_code": "US",
            "telephone_number": "315-412-3625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MANDOLIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084076-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS SOCIAL WORK LICENSE",
            "identifier": "084076-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Cortland, NY
• Providers in Cortland, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.