Individual provider Active NPI

Julie Kotran, LCSW

  • Clinical Social Worker
  • Sewell, NJ
National Provider Identifier
1669970257
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC0574800 Issued in NJ
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

Updated by the provider on Jun 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
44SC0574800NJMDClinical Social Worker
44SC05748000NJMDClinical 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.

Verify at the official NPI Registry.