Active NPI
Kristin Botwinick LCSW-R
- Clinical Social Worker
- Camillus, NY
National Provider Identifier
1336051440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- KRISTIN BOTWINICK LCSW-R
- Practice address
- 3810 Split Rock Rd
Camillus, NY 13031-9724 - Phone
- (315) 466-6573
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin Botwinick
- Title
- Owner
- Phone
- (315) 466-6573
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
3810 Split Rock Rd
Camillus, NY 13031-9724
Mailing address
3810 Split Rock Rd
Camillus, NY 13031-9724
Phone (315) 466-6573
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Camillus, NY
- NPI 1346240553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1336051440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 SPLIT ROCK RD",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130319724",
"telephone_number": "315-466-6573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 SPLIT ROCK RD",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130319724",
"telephone_number": "315-466-6573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTIN BOTWINICK LCSW-R",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "BOTWINICK",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-466-6573"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camillus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.