Active NPI
Nancy Beth Rotkowitz, LICSW
- Social Worker
- Raymond, NH
National Provider Identifier
1023562428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MC16198
- Practice address
- 18 Windmere Dr
Raymond, NH 03077-2702 - Phone
- (207) 907-6897
- NPI assigned
- Aug 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2219 | NH | |
| Social Worker | 104100000X | MC16198 | ME | Primary |
Addresses
Primary practice location
18 Windmere Dr
Raymond, NH 03077-2702
Mailing address
18 Windmere Dr
Raymond, NH 03077-2702
Phone (207) 907-6897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MC16198 | Other | ME | SOCIAL WORKER LICENSURE, STATE OF MAINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2219 | NH | MD | Mental Health Counselor |
| MC16198 | ME | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1023562428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 WINDMERE DR",
"city": "RAYMOND",
"state": "NH",
"postal_code": "030772702",
"telephone_number": "207-907-6897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 WINDMERE DR",
"city": "RAYMOND",
"state": "NH",
"postal_code": "030772702",
"telephone_number": "207-907-6897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTKOWITZ",
"first_name": "NANCY",
"middle_name": "BETH",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-15",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "2219",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC16198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKER LICENSURE, STATE OF MAINE",
"identifier": "MC16198",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raymond, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.