Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MANDOLIN PORTER LCSW
NPI 1780934240
Social Worker - Clinical in Cortland, NY

Active since September 12, 2012PECOS EnrolledAccepts Medicare Assignment
111 PORT WATSON ST, CORTLAND, NY 13045(607) 428-5477 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, Jan 12, 2017, Feb 26, 2016 (3 updates tracked since 2016).

About Mandolin Porter Lcsw NPPES

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

MANDOLIN PORTER LCSW (NPI 1780934240) is an individual clinical provider in Cortland, New York, licensed in New York (084076-1) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1780934240
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMANDOLIN PORTERCredential: LCSW
Location Address111 PORT WATSON STCortland, NY 13045-3185
Mailing Address3700 State Route 41aMoravia, NY 13118-2233 · (315) 406-3355
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 12, 2012
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
NPI 1780934240 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 · 084076-1
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.
111 PORT WATSON ST, Cortland, NY 13045

Secondary Practice Locations 2

Location 17 S Lewis StAuburn, NY 13021-2707 · Phone (315) 412-3625
Location 2121 North StAuburn, NY 13021-1826 · Phone (315) 412-3625

Other Identifiers 1

Other084076-1NY · Nys Social Work License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mandolin Porter Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880993740
PECOS Enrollment IDI20160427000382
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 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 20

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

Social Worker (Clinical)
111 PORT WATSON ST
CORTLAND, NY 13045
Licensed Practical Nurse
111 PORT WATSON ST
CORTLAND, NY 13045
Licensed Practical Nurse
111 PORT WATSON ST
CORTLAND, NY 13045
Licensed Practical Nurse
111 PORT WATSON ST
CORTLAND, NY 13045
Licensed Practical Nurse
111 PORT WATSON ST
CORTLAND, NY 13045
Licensed Practical Nurse
111 PORT WATSON ST
CORTLAND, NY 13045
Social Worker (Clinical)
111 PORT WATSON ST
CORTLAND, NY 13045
Licensed Practical Nurse
111 PORT WATSON ST
CORTLAND, NY 13045

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 Mandolin Porter's NPI number?

The NPI number for Mandolin Porter is 1780934240. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Where is Mandolin Porter located?

Mandolin Porter practices at 111 Port Watson St, Cortland, NY 13045. The listed phone number is (607) 428-5477.

What is Mandolin Porter's specialty?

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

Is Mandolin Porter enrolled in Medicare?

Yes. Mandolin Porter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mandolin Porter was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.