Herman Kothe IV, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22326 Issued in CA

Practice address

4445 Northampton Dr
Carmichael, CA 95608-1556

Phone

(916) 276-7713

NPI assigned

Oct 15, 2024

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1326868357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 NORTHAMPTON DR",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081556",
            "telephone_number": "916-276-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 NORTHAMPTON DR",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081556",
            "telephone_number": "916-276-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHE",
        "first_name": "HERMAN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Kolbeck, M.D.
• Benjamin Kong, DPT
• Danton Kono, M.D.
• Susan Shanahan Kostecki, RN, CNNP
• Nathan M Kostiv, NNP-BC
• Vita Koval
• Victor Kozlow
• Jack C Kraft, M.D.
• Steffanie Kramer
• Liliya Krivoruchko, FNP

• Clinical Social Worker in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.