Individual provider Active NPI

Geeta Kotak, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1225675168
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001642 Issued in DE
Practice address
1500 Shallcross Ave Ste 1a-2
Wilmington, DE 19806-3037
Phone
(302) 455-8990
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001642 DE Primary

Addresses

Primary practice location

1500 Shallcross Ave Ste 1a-2
Wilmington, DE 19806-3037

Mailing address

1500 Shallcross Ave Ste 1a-2
Wilmington, DE 19806-3037
Phone (302) 455-8990

Other practice location 1

620 Churchmans Rd Ste 103
Newark, DE 19702-1945
Phone (302) 655-2627

Other identifiers 1

IdentifierTypeStateIssuer
1R9389OtherDEMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL geetak@partnersinhealthandwellbeing.com Health Information Exchange (HIE) Partners in Health and Wellbeing LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723001983 DE Practitioner - Clinical Social Worker 9830592112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001642DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Linings Counseling, LLC Clinical CurrentSince Jun 1, 2021 Accepting new patients

Locations

1500 Shallcross Ave
Ste 1A2
Wilmington, DE 19806
Phone (302) 455-8990

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1225675168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHALLCROSS AVE STE 1A-2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063037",
            "telephone_number": "302-455-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHALLCROSS AVE STE 1A-2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063037",
            "telephone_number": "302-455-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Churchmans Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197021945",
            "country_code": "US",
            "telephone_number": "302-655-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTAK",
        "first_name": "GEETA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1R9389",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "geetak@partnersinhealthandwellbeing.com",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "Partners in Health and Wellbeing LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "620 Churchmans Rd Ste 103",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197021945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.