Active NPI
Debra Marie Kott, LICSW
- Clinical Social Worker
- Orange, MA
National Provider Identifier
1831103233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110778
- Practice address
- 131 W Main St
Orange, MA 01364 - Phone
- (978) 544-2148
- NPI assigned
- Jul 28, 2006
- Last updated
- Aug 1, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110778 | MA | Primary |
Addresses
Primary practice location
131 W Main St
Orange, MA 01364
Mailing address
113 New Athol Rd Unit 40
Orange, MA 01364-9666
Phone (508) 341-5614
Other practice location 1
205 School St
Gardner, MA 01440-2781
Phone (978) 632-2321 ext. 19
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110778 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child & Family Services, Inc. | Current | Accepting new patients | |
| Youth Opportunities Upheld, Inc. | Past | Accepting new patients |
Locations
3057 Acushnet Ave
New Bedford, MA 02745
Phone (508) 742-1040
965 Church St
New Bedford, MA 02745
Phone (508) 996-3154
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/youinc/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- New Bedford, MA
- NPI 1205813540
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Worcester, MA
- NPI 1245317205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1831103233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 NEW ATHOL RD UNIT 40",
"city": "ORANGE",
"state": "MA",
"postal_code": "013649666",
"telephone_number": "508-341-5614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 W MAIN ST",
"city": "ORANGE",
"state": "MA",
"postal_code": "01364",
"telephone_number": "978-544-2148"
}
],
"practiceLocations": [
{
"address_1": "205 School St",
"address_purpose": "LOCATION",
"city": "Gardner",
"state": "MA",
"postal_code": "014402781",
"country_code": "US",
"telephone_number": "978-632-2321 x19",
"fax_number": "978-630-3049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOTT",
"first_name": "DEBRA",
"middle_name": "MARIE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.