Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Portlock

Individual provider Clinical Social Worker · NPI 1356913578

Andrew Portlock is a Clinical Social Worker in Merrillville, Indiana. Qualified in 2015, 11 years ago. Practices with Southlake Community Mental Health Center Inc, a 38-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
11
In the registry since
2021
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Practice location Address checks out

8555 Taft St
Merrillville, IN 46410-6123
Phone: (219) 769-4005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1356913578
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 15, 2021
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southlake Community Mental Health Center Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Merrillville