Paul Botticelli, L.C.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

PR0276581NY Issued in NY

Practice address

24 Willow Dr
Coram, NY 11727-4147

Phone

(631) 987-4817

NPI assigned

Feb 1, 2007

Last updated

Mar 3, 2026By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Paul J Botticelli LCSW PC

  • Clinical Social Worker
  • Coram, NY
  • NPI 1881294338
  Medicare reassignment NPD Authorized official
• Setauket Licensed Clinical Social Work Consultation Services PLLC

  dba Setauket Consultation Center

  • Clinical Social Worker
  • East Setauket, NY
  • NPI 1801073184
  NPD (past) Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1457499808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WILLOW DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274147",
            "telephone_number": "631-987-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WILLOW DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274147",
            "telephone_number": "631-987-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTICELLI",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "PR0276581NY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "N362G1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3093904",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helena Bloom, RN
• Mary Louise Blount
• Richard Joseph Boergers Jr., ATC
• Neva T Bolding, RN
• Melissa Borrelli
• Bridget L Bowen, L.P.N
• Kathleen Ann Brady-Grieve, MSED
• Brian Cho Optometry PLLC (Coram Perspective Eye Care)
• Ashley Nicole Brodzansky, LMSW
• Michele Brons

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.