Sara O Kotzin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076122 Issued in NY

Practice address

3 W 29TH St
Fifth Floor
New York, NY 10001-4504

Phone

(212) 725-7850

Fax

(212) 689-3212

NPI assigned

Jan 31, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 17, 2023 through Jul 17, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Blanton-Peale Institute

  • Mental Health Counselor
  • New York City, NY
  • NPI 1225195787
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1356529481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 W 181ST ST APT 41A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334451",
            "telephone_number": "212-725-7850",
            "fax_number": "212-689-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W 29TH ST",
            "address_2": "FIFTH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014504",
            "telephone_number": "212-725-7850",
            "fax_number": "212-689-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTZIN",
        "first_name": "SARA",
        "middle_name": "O",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samer Kottiech, M.D.
• Angelica Cifuentes Kottkamp, MD
• Caryn L. Kotz, M.S., CCC-SLP
• Samantha Kotz
• Tamar Kotz
• Kunneang Kou, NP
• Yi Kou
• Marilyn Ivanne Mossiah Kouassi-Brou, MD
• Heather Candace Kouffman, LMSW PHYCHOTHERAPIST
• Paulette Kouffman, PHD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.