1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Social Worker
  6. NPI Profile

STELLA DOGOT KOLTUNOV L.M.S.W.
NPI 1518235589
Social Worker in New York, NY

Active since December 06, 2011PECOS EnrolledAccepts Medicare Assignment
57 SAINT MARKS PL, NEW YORK, NY 10003(212) 982-3470 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stella Dogot Koltunov L.m.s.w. NPPES

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

STELLA DOGOT KOLTUNOV L.M.S.W. (NPI 1518235589) is an individual social worker in New York, New York, licensed in New York (085238-1) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1518235589
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSTELLA DOGOT KOLTUNOVCredential: L.M.S.W.
Location Address57 SAINT MARKS PLNew York, NY 10003-7902
Mailing Address10 E 29th St, Apt 40dNew York, NY 10016-7426 · (516) 835-7583
Phone(212) 982-3470
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 6, 2011
✔ NPI 1518235589 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 · 085238-1
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.
57 SAINT MARKS PL, New York, NY 10003
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stella Dogot Koltunov L.m.s.w. 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 ID5496002446
PECOS Enrollment IDI20180720002741
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.

Medicare Billing Reassignment

Medicare enrollment records show Stella Koltunov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prominis Medical Services PC
2.9 mi
Internal Medicine
332 DEKALB AVE
Brooklyn, NY 11205
  • Reassigned Medicare billing, New York enrollment
  • 73 clinicians in this Medicare group
NPI 1841323771 (718) 852-5252

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MR. ROBERT JOSEPH MIELA
Counselor (Addiction (Substance Use Disorder))
57 SAINT MARKS PL
NEW YORK, NY 10003
New York County (212) 982-3470
AIMEE GRIFFITH LCSW
Social Worker (Clinical)
57 SAINT MARKS PL
NEW YORK, NY 10003
New York County (212) 982-3470
MIRIAM MITCHELL
Counselor (Mental Health)
57 SAINT MARKS PL
NEW YORK, NY 10003
New York County (212) 982-3740
MR. DANTE DALLI
Counselor (Mental Health)
57 SAINT MARKS PL
NEW YORK, NY 10003
New York County (212) 982-3470
ILONA GREBSKA STEFANIAK
Counselor (Mental Health)
57 SAINT MARKS PL
NEW YORK, NY 10003
New York County (212) 982-3470
JENNIFER LAUREN BURICH LCSW
Social Worker (Clinical)
57 SAINT MARKS PL
NEW YORK, NY 10003
New York County (212) 982-3470
MRS. JOANNA HERBACZEWSKA RN, BSN
Registered Nurse
57 SAINT MARKS PL
NEW YORK, NY 10003
New York County (212) 982-3470
ICARO OTAVIO NOGUEIRA SOARES LMSW
Social Worker
57 SAINT MARKS PL
NEW YORK, NY 10003
New York County (212) 982-3470

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 Stella Koltunov's NPI number?

The NPI number for Stella Koltunov is 1518235589. It was assigned to this individual provider in the NPPES registry on December 6, 2011.

Where is Stella Koltunov located?

Stella Koltunov practices at 57 Saint Marks Pl, New York, NY 10003. The listed phone number is (212) 982-3470.

What is Stella Koltunov's specialty?

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

Is Stella Koltunov enrolled in Medicare?

Yes. Stella Koltunov 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.

Which organization bills Medicare for Stella Koltunov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stella Koltunov reassigns Medicare benefits to Prominis Medical Services PC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stella Koltunov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stella Koltunov was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.