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

Tellissa A Colglazier, LCSW

Individual provider Counselor · NPI 1174143119

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.

See every abbreviation used in this directory →

Practice location Address checks out

1758 W 100 S
Portland, IN 47371-8204
Phone: (260) 726-1960
Fax: (260) 726-1980
Show map & directions

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 number1174143119
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 20, 2020
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
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 locations3 on file with Medicare

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