Individual provider Active NPI

Kelly L. Sutton, LCSW

  • Social Worker
  • Orchard Park, NY
National Provider Identifier
1740469477
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
3176 Abbott Rd BLDG a
Abbott Corners
Orchard Park, NY 14127-1069
Phone
(716) 822-2117
Fax
(716) 822-8165
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 082370-01 NY
Social Worker 104100000X NY Primary

Addresses

Primary practice location

3176 Abbott Rd BLDG a
Abbott Corners
Orchard Park, NY 14127-1069

Mailing address

4535 Southwestern Blvd Ste 802
Hamburg, NY 14075-1860
Phone (716) 208-6313

Other names 1

  • Mrs. Kelly L Lotz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20141023001034 NY Practitioner - Clinical Social Worker 2860613429 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082370-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Behavioral Health, Inc. CurrentSince Sep 11, 2014 Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Sep 11, 2014 Accepting new patients

Locations

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

254 Franklin St
Buffalo, NY 14202
Phone (716) 551-7894

3176 Abbott Rd
Ste 800
Orchard Park, NY 14127
Phone (716) 391-5700

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.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1740469477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 SOUTHWESTERN BLVD STE 802",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751860",
            "telephone_number": "716-208-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 ABBOTT RD BLDG A",
            "address_2": "ABBOTT CORNERS",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271069",
            "telephone_number": "716-822-2117",
            "fax_number": "716-822-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "KELLY",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082370-01",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LOTZ",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.