Paul J Botticelli LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PAUL J BOTTICELLI LCSW PC

Practice address

24 Willow Dr
Coram, NY 11727-4147

Phone

(631) 987-4817

NPI assigned

Oct 26, 2020

Last updated

Mar 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Botticelli, LCSWNPI 1457499808

Title

President

Phone

(631) 987-4817

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Botticelli, L.C.S.W.

  • Social Worker
  • Coram, NY
  • NPI 1457499808
  Medicare reassignment NPD Authorized official
• Lisa Celiberti, L.C.S.W.

  • Social Worker
  • East Setauket, NY
  • NPI 1659419984
  NPD (past)
• Michelle Conelli, L.M.F.T., L.C.S.W.

  • Social Worker
  • Port Jefferson Station, NY
  • NPI 1467590828
  NPD (past)
• Deirdre Lee Russo, MFT

  • Marriage & Family Therapist
  • East Setauket, NY
  • NPI 1457722464
  NPD (past)

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1881294338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WILLOW DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274147",
            "telephone_number": "631-987-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WILLOW DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274147",
            "telephone_number": "631-987-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J BOTTICELLI LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "BOTTICELLI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-987-4817",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Pacheco-Stabile, DPM
• Anne Padilla
• Jaclynn Paduano
• Gabrielle Palmieri
• Brian Henry Parsley, L.P.N
• Susanna R. Paulay, LCSW
• Peconic Speech Services, P.C.
• Pederson Krag
• Julia Starr Pellettieri
• Bernice Pena

• Clinical Social Worker in Coram, NY
• Providers in Coram, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.