Gwen H Kotler, MSW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 7398 Issued in FL

Practice address

533 N Nova Rd
Suite 203
Ormond Beach, FL 32174-4447

Phone

(386) 334-8430

NPI assigned

Jun 12, 2007

Last updated

Sep 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gwen Kotler LCSW

  • Community/Behavioral Health Agency
  • Ormond Beach, FL
  • NPI 1780821611
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1144424334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BLACK PINE WAY",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741863",
            "telephone_number": "386-671-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD",
            "address_2": "SUITE 203",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744447",
            "telephone_number": "386-334-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLER",
        "first_name": "GWEN",
        "middle_name": "H",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "SW 7398",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marciley Korfant
• Matthew Kostecky
• Alexandra Marion Pamela Kostick, M.D.
• Kosyak Consulting
• Tatiana E Kosyak, RPH, CPH
• Thomas Krajewski, MD
• Angela Weber Kramer, SLP
• Jennifer Kramer, FNP
• Viktoria Kramer, L.M.T.
• Kraski, Costello & Drake, PA (AtlanticDentists.com)

• Clinical Social Worker in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.