Active NPI
Carolyn Ann Kotula, LMSW
- Social Worker
- Staten Island, NY
National Provider Identifier
1598078792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 079827
- Practice address
- 156 Milton Ave
Staten Island, NY 10306-5740 - Phone
- (860) 539-6603
- NPI assigned
- Jul 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 079827 | NY | Primary |
| School Social Worker | 1041S0200X | 1288095 | NY |
Addresses
Primary practice location
156 Milton Ave
Staten Island, NY 10306-5740
Mailing address
156 Milton Ave
Staten Island, NY 10306-5740
Phone (860) 539-6603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079827 | NY | MD | Social Worker |
| 1288095 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317427200000",
"number": "1598078792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 MILTON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103065740",
"telephone_number": "860-539-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 MILTON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103065740",
"telephone_number": "860-539-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTULA",
"first_name": "CAROLYN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-16",
"last_updated": "2011-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "079827",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "1288095",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.