Active NPI
Julie Kotran, LCSW
- Clinical Social Worker
- Sewell, NJ
National Provider Identifier
1669970257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC0574800
- Practice address
- 342 Egg Harbor Rd Ste B
Sewell, NJ 08080-1856 - Phone
- (856) 589-3420
- Fax
- (856) 345-2820
- NPI assigned
- Jan 29, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC0574800 | NJ | Primary |
| Clinical Social Worker | 1041C0700X | 44SC05748000 | NJ |
Addresses
Primary practice location
342 Egg Harbor Rd Ste B
Sewell, NJ 08080-1856
Mailing address
709 Quest CT
Mantua, NJ 08051-2277
Phone (856) 325-9134
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC0574800 | NJ | MD | Clinical Social Worker |
| 44SC05748000 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1669970257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 QUEST CT",
"city": "MANTUA",
"state": "NJ",
"postal_code": "080512277",
"telephone_number": "856-325-9134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 EGG HARBOR RD STE B",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080801856",
"telephone_number": "856-589-3420",
"fax_number": "856-345-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTRAN",
"first_name": "JULIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-29",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC0574800",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05748000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.