Adam Kotowski, LSW, MSW, MBA
Individual provider Active NPI Social Worker · Mazon, IL
NPI 1962360610 · NPPES record last updated Jan 12, 2026
Key facts
- NPI
- 1962360610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150.116309 (IL)
- Practice address
- 606 Depot St
Mazon, IL 60444-3703 - Phone
- (815) 315-8380
- Fax
- (815) 315-8381
- NPI assigned
- Jan 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.116309 | IL | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.116309 | IL | Yes |
Addresses
Primary practice location
606 Depot St
Mazon, IL 60444-3703
Mailing address
606 Depot St
Mazon, IL 60444-3703
Phone (815) 315-8380
Other providers in Mazon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.