Individual provider Active NPI

Karen Michelle Lottman, LCSW

  • Clinical Social Worker
  • Berkeley, CA
National Provider Identifier
1457464224
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20651 Issued in CA
Practice address
2484 Shattuck Ave
Ste 210
Berkeley, CA 94704
Phone
(510) 704-7480
Fax
(510) 704-7494
NPI assigned
Aug 16, 2006
Last updated
Mar 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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 20651 CA Primary

Addresses

Primary practice location

2484 Shattuck Ave
Ste 210
Berkeley, CA 94704

Mailing address

2484 Shattuck Ave
Ste 210
Berkeley, CA 94704-2076
Phone (510) 704-7480

Other identifiers 1

IdentifierTypeStateIssuer
6887MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050208000845 CA Practitioner - Clinical Social Worker 0749231629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2484 Shattuck Ave
Suite 210
Berkeley, CA 94704-2076
Phone (510) 704-7475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Community Services East Bay CurrentSince Dec 20, 2004 Accepting new patients

Locations

2484 Shattuck Ave
Ste 210
Berkeley, CA 94704
Phone (510) 704-7475

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1457464224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 SHATTUCK AVE",
            "address_2": "STE 210",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042076",
            "telephone_number": "510-704-7480",
            "fax_number": "510-704-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 SHATTUCK AVE",
            "address_2": "STE 210",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94704",
            "telephone_number": "510-704-7480",
            "fax_number": "510-704-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTTMAN",
        "first_name": "KAREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6887",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.