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

Charles W Mott III, LCSW

Individual provider Clinical Social Worker · NPI 1669611174

Charles W Mott III, LCSW is a Clinical Social Worker in Cortland, New York. Qualified in 2004, 22 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

17 Main St Fl 4
Cortland, NY 13045-6606
Phone: (607) 756-4167
Fax: (607) 753-0608
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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 · Licence 098527 (NY)

Record details

NPI number1669611174
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 9, 2009
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated

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