Ellen Ruth Kotkin, LCSW
Social Worker, Clinical in Irvine, CA. Individual provider (NPI-1).
NPI number1457780686
StatusActive
Last updated in NPPESJul 18, 2023
Details
- NPI
- 1457780686
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ellen Ruth Kotkin
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2013
- Certification date
- Jul 18, 2023
- Last updated
- Jul 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 73934 | CA | Yes |
Practice location
16755 Von Karman AveIrvine, CA 92606-4930
Phone 949-929-9244
Mailing address
16755 Von Karman Ave Ste 200Irvine, CA 92606-4963
Phone 949-929-9244
Other practice locations
1001 Dove St Ste 215
Newport Beach, CA 92660-2848
Newport Beach, CA 92660-2848
Phone 949-301-9330
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