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MR. PAUL BOTTICELLI L.C.S.W.
NPI 1457499808
Social Worker in Coram, NY

Active since February 01, 2007PECOS Enrolled

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2026, Feb 9, 2021 (2 updates tracked since 2021).

About Mr. Paul Botticelli L.c.s.w. NPPES

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

MR. PAUL BOTTICELLI L.C.S.W. (NPI 1457499808) is an individual social worker in Coram, New York, licensed in New York (PR0276581NY) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1457499808
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. PAUL BOTTICELLICredential: L.C.S.W.
Location Address24 WILLOW DRCoram, NY 11727-4147
Mailing Address24 Willow DrCoram, NY 11727-4147 · (631) 987-4817
Phone(631) 987-4817
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 1, 2007
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1457499808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · PR0276581NY
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
24 WILLOW DR, Coram, NY 11727
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Other Identifiers 2

OtherN362G1NY · Empire Bc/bs
OtherP3093904NY · Oxford

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Paul Botticelli L.c.s.w. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517926702
PECOS Enrollment IDI20041004001061
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
627 services21 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
20 services13 patients

Other Providers at the Same Location NPPES

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

PAUL J BOTTICELLI LCSW PC
Social Worker (Clinical)
24 WILLOW DR
CORAM, NY 11727
Suffolk County (631) 987-4817

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 Paul Botticelli's NPI number?

The NPI number for Paul Botticelli is 1457499808. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Paul Botticelli located?

Paul Botticelli practices at 24 Willow Dr, Coram, NY 11727. The listed phone number is (631) 987-4817.

What is Paul Botticelli's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Paul Botticelli enrolled in Medicare?

Yes. Paul Botticelli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Botticelli was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.