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CHARLES W MOTT III LCSW
NPI 1669611174
Social Worker - Clinical in Cortland, NY

Active since February 09, 2009PECOS Enrolled
17 MAIN ST FL 4, CORTLAND, NY 13045(607) 756-4167(607) 753-0608 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles W Mott Iii Lcsw NPPES

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

CHARLES W MOTT III LCSW (NPI 1669611174) is an individual clinical provider in Cortland, New York, licensed in New York (098527) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1669611174
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLES W MOTT IIICredential: LCSW
Location Address17 MAIN ST FL 4Cortland, NY 13045-6606
Mailing Address17 Main St Fl 4Cortland, NY 13045-6606 · (607) 756-4167 · Fax (607) 753-0608
Phone(607) 756-4167
Fax(607) 753-0608
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 9, 2009
Last NPPES UpdateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1669611174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 098527
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.
17 MAIN ST FL 4, Cortland, NY 13045
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Other Identifiers 1

Medicaid02525840NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles W Mott Iii Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143796755
PECOS Enrollment IDI20260420002855
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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Mott Iii reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,182 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13045 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN MARIE NEUFANG CASAC, LMSW
Counselor (Addiction (Substance Use Disorder))
17 MAIN ST FL 4
CORTLAND, NY 13045
Cortland County (607) 756-4167

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 Charles Mott Iii's NPI number?

The NPI number for Charles Mott Iii is 1669611174. It was assigned to this individual provider in the NPPES registry on February 9, 2009.

Where is Charles Mott Iii located?

Charles Mott Iii practices at 17 Main St Fl 4, Cortland, NY 13045. The listed phone number is (607) 756-4167.

What is Charles Mott Iii's specialty?

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

Is Charles Mott Iii enrolled in Medicare?

Yes. Charles Mott Iii is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Mott Iii's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Mott Iii reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Mott Iii's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Mott Iii was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.