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DR. HOLLY WHITE GOTTA LCSW
NPI 1104965946
Social Worker - Clinical in Northport, NY

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
25 HAYES HILL DR, NORTHPORT, NY 11768(631) 261-8873(631) 261-8873 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Holly White Gotta Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HOLLY WHITE GOTTA LCSW (NPI 1104965946) is an individual clinical provider in Northport, New York, licensed in New York (PRO18166-1) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1104965946
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. HOLLY WHITE GOTTACredential: LCSW
Location Address25 HAYES HILL DRNorthport, NY 11768-1331
Mailing Address25 Hayes Hill DrNorthport, NY 11768-1331 · (631) 261-8873 · Fax (631) 261-8873
Phone(631) 261-8873
Fax(631) 261-8873
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104965946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · PRO18166-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
25 HAYES HILL DR, Northport, NY 11768
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Holly White Gotta Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002905684
PECOS Enrollment IDI20071204000808
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11768 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD GOTTA PH.D.
Psychoanalyst
25 HAYES HILL DR
NORTHPORT, NY 11768
Suffolk County (631) 261-8873

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Gotta's NPI number?

The NPI number for Holly Gotta is 1104965946. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Holly Gotta located?

Holly Gotta practices at 25 Hayes Hill Dr, Northport, NY 11768. The listed phone number is (631) 261-8873.

What is Holly Gotta's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Holly Gotta enrolled in Medicare?

Yes. Holly Gotta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Holly Gotta accept?

Health plans from Providence Health Plan list Holly Gotta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Gotta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.