Tellissa A Colglazier, LCSW
Tellissa A Colglazier, LCSW is a Clinical Social Worker in Portland, Indiana. Qualified in 2019, 7 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 7
- Licensed in
- IN
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
1758 W 100 SPortland, IN 47371-8204
Phone: (260) 726-1960
Fax: (260) 726-1980
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 240 N Tillotson Ave, Muncie, IN 47304-3988 — (765) 288-1928
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 34010693A (IN) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1174143119 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW |
| Sole proprietor | No |
| NPI enumerated | April 20, 2020 |
| Last updated in NPPES | November 8, 2023 |
| Certification date | November 8, 2023 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Mental Health Specialty Group Pa — 679 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Portland
-
Heidi Augsburger
931 W Water St, Portland, IN 47371-1755 · (260) 726-9348