Jordan Kotler, LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

SW138282 Issued in PA

Practice address

766 N 44TH St
Philadelphia, PA 19104-1362

Phone

(215) 823-8203

NPI assigned

Nov 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Community Council

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1932323110
  NPD (past)

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1194591701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 PENNSYLVANIA AVE APT 212",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303521",
            "telephone_number": "301-793-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 N 44TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041362",
            "telephone_number": "215-823-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLER",
        "first_name": "JORDAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "PA",
            "license": "SW138282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kotecki, D.D.S.
• Krishna Kothamasu, DO
• Ketan Hashmukh Kothari, DPM
• Millie Kothari, DO
• Drew Kotler, MD
• Morris Kotler, MD
• Ronald L Kotler, MD
• Robert M Kotloff, MD
• Isabel Kotlowitz
• Joseph Kots, RN

• School Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• School Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.