- Practice location
- 11 S Main St, Randolph, VT 05060-1330
- Phone
- 802-728-4466
- Fax
- 802-728-4197
- Last updated
- July 8, 2007
Shana Kotelchuck is a Social Worker, Clinical based in Randolph, VT. Shana Kotelchuck practices in Randolph, VT and has the professional credentials of LICSW. The NPI Number for Shana Kotelchuck is 1073648895 and holds a License No. 089-0001123 (VT). The current practice location address for Shana Kotelchuck is 11 S Main St, Randolph, VT 05060-1330 and can be reached out via phone at 802-728-4466 and via fax at 802-728-4197.
Provider Profile Details
- NPI Number
- 1073648895
- Provider Name
- Shana Kotelchuck
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 S Main St, Randolph, VT 05060-1330
- Phone Number
- 802-728-4466
- Fax Number
- 802-728-4197
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 22, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 S Main St
Randolph, VT 05060-1330 - City
- Randolph
- State
- Vermont
- Zip
- 05060-1330
- Phone Number
- 802-728-4466
- Fax Number
- 802-728-4197
Provider Business Mailing Address Details
- Address
- 160 Shady Rill RD
Middlesex, VT 05602-9370 - City
- Middlesex
- State
- VT
- Zip
- 05602-9370
- Phone Number
- 802-223-2655
License Information
- License Number
- 089-0001123
- License State
- VT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Randolph, VT
View all Social Worker, Clinical providers in Randolph →- Christie Everett, LICSWSocial Worker, Clinical · NPI 1568703536
- Jenni M Campbell, LICSWSocial Worker, Clinical · NPI 1912245143
- Joshua B Amses, LICSWSocial Worker, Clinical · NPI 1568227171
- Kristen Briggs, LICSWSocial Worker, Clinical · NPI 1649935040
- Margaret Hammond, LICSWSocial Worker, Clinical · NPI 1528156882
- Marjorie R Crowe MSW CorpSocial Worker, Clinical · NPI 1871044982
Frequently Asked Questions
What is the NPI number of Shana Kotelchuck, LICSW?
The NPI number of Shana Kotelchuck, LICSW is 1073648895. It was assigned on February 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Shana Kotelchuck, LICSW?
Shana Kotelchuck, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089-0001123.
Where does Shana Kotelchuck, LICSW practice?
The practice location is 11 S Main St, Randolph, VT 05060-1330. The office can be reached at 802-728-4466 (phone) or 802-728-4197 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073648895 directly on the NPPES registry website.