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MRS. CLYTE LYDIA PORTIS LCSW, LISW-CP
NPI 1447423157
Social Worker - Clinical in Fort Gordon, GA

Active since April 02, 2008PECOS Enrolled
254 41ST ST, BLDG 40709, FORT GORDON, GA 30905(707) 787-1595(706) 787-1099 Get Directions Write a Review

NPPES record last updated: October 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Clyte Lydia Portis Lcsw, Lisw-cp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CLYTE LYDIA PORTIS LCSW, LISW-CP (NPI 1447423157) is an individual clinical provider in Fort Gordon, Georgia, licensed in Georgia (CSW003792) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447423157
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. CLYTE LYDIA PORTISCredential: LCSW, LISW-CP
Location Address254 41ST ST, BLDG 40709Fort Gordon, GA 30905-5918
Mailing Address254 41st St, Bldg 40709Fort Gordon, GA 30905-5918 · (707) 787-1595 · Fax (706) 787-1099
Phone(707) 787-1595
Fax(706) 787-1099
Sole ProprietorNo
Enumeration DateApril 2, 2008
Last NPPES UpdateOctober 29, 2013
✔ NPI 1447423157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW003792
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X · License CSW003792 (GA)
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License CSW003792 (GA)
254 41ST ST, Fort Gordon, GA 30905
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Other Identifiers 1

OtherCSW003792GA · Ga Social Work Licensure

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Clyte Lydia Portis Lcsw, Lisw-cp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.31 – $164.04
Typical copayment $0.00 (range $13.32 – $41.01)
Most-billed visit code NA
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyte Portis's NPI number?

The NPI number for Clyte Portis is 1447423157. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Where is Clyte Portis located?

Clyte Portis practices at 254 41st St Bldg 40709, Fort Gordon, GA 30905. The listed phone number is (707) 787-1595.

What is Clyte Portis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Clyte Portis enrolled in Medicare?

Yes. Clyte Portis is registered in the Medicare PECOS enrollment system.

What insurance does Clyte Portis accept?

Health plans from Blue Cross Blue Shield of Arizona list Clyte Portis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clyte Portis was last updated on October 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.