Individual provider Active NPI

Barbara H. Kotz, L.C.S.W.

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1720004385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074497 Issued in NY
Practice address
1031 E Fayette St
Syracuse, NY 13210-1022
Phone
(315) 425-4400
Fax
(315) 425-4406
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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

LicenseStateTypeSpecialty
074497NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse VA Medical Center Past Accepting new patients
Department of Veterans Affairs Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074497 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1031 E Fayette St
Syracuse, NY 13210-1022

Mailing address

1031 E Fayette St
Syracuse, NY 13210-1022
Phone (315) 425-4400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720004385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101022",
            "telephone_number": "315-425-4400",
            "fax_number": "315-425-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101022",
            "telephone_number": "315-425-4400",
            "fax_number": "315-425-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTZ",
        "first_name": "BARBARA",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.