NPI age
18 years
Enumerated 2008-04-02
● Active
Type 1 · Individual
MRS. Clyte Lydia Portis, LCSW, LISW-CP
Portis is 1 of 31 social worker providers in Fort Gordon and 1 of 5654 in Georgia.
Primary specialty
Social Worker
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-10-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5654 active social worker providers in Georgia.
NPI age
18 years
↑ 9 yr above median (9 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
2
In the 19% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Practice location
254 41st St, Bldg 40709
Fort Gordon, GA 309055918
Mailing address
254 41st St, Bldg 40709
Fort Gordon, GA 309055918
Specialties
-
Social Worker PrimaryA 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...
-
Social WorkerA social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
-
Social WorkerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | CSW003792 | GA SOCIAL WORK LICENSURE |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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