Ellen Ruth Kotkin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73934 Issued in CA

Practice address

16755 Von Karman Ave
Irvine, CA 92606-4930

Phone

(949) 929-9244

NPI assigned

Nov 7, 2013

Sex

Female

Sole proprietor

No

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

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.57 of 100Reported as group

Quality

77.27

Promoting interoperability

99

Improvement activities

40

Cost

38.81

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ellen.kotkinlcsw.p1@direct.sms.nextgenshare.com

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.

• Ellen Kotkin Licensed Clinical Social Worker Professional Corp

  • Clinical Social Worker
  • Irvine, CA
  • NPI 1992485627
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1457780686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16755 VON KARMAN AVE STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926064963",
            "telephone_number": "949-929-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16755 VON KARMAN AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926064930",
            "telephone_number": "949-929-9244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Dove St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602848",
            "country_code": "US",
            "telephone_number": "949-301-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTKIN",
        "first_name": "ELLEN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "73934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korean American Center
• Christine Wang Kornu, MD
• Henri Koroveshi, LCSW
• Mila Tsankova Koseva
• Mohit Kosuru
• Chase Kotowitz
• Kathryn Kovach, M.A. CCC-SLP
• Karli N Koval, PA-C
• Patricia Kovars, M.F.T.
• KPB Anesthesia Medical Group Inc.

• Clinical Social Worker in Irvine, CA
• Providers in Irvine, 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 Jul 18, 2023; 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.