Active NPI
Renee S Kotlerkrieger, MSW
- Clinical Social Worker
- Great Neck, NY
National Provider Identifier
1114224383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO16794-1
- Practice address
- 34 Elm St
Great Neck, NY 11021 - Phone
- (516) 330-9776
- Fax
- (516) 482-7218
- NPI assigned
- Feb 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | RO16794-1 | NY | Primary |
Addresses
Primary practice location
34 Elm St
Great Neck, NY 11021
Mailing address
34 Elm St
Great Neck, NY 11021
Phone (516) 330-9776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO16794-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1114224383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 ELM ST",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-330-9776",
"fax_number": "516-482-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 ELM ST",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-330-9776",
"fax_number": "516-482-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTLERKRIEGER",
"first_name": "RENEE",
"middle_name": "S",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-23",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RO16794-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.