ELLEN KOTKIN LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP
NPI 1992485627
Social Worker - Clinical in Irvine, CA
About Ellen Kotkin Licensed Clinical Social Worker Professional Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN KOTKIN LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP (NPI 1992485627) is a healthcare organization registered as a clinical in Irvine, California and active in the NPI registry since July 2023. The organization lists Ellen Kotkin, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Kotkin Licensed Clinical Social Worker Professional Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ellen Kotkin Licensed Clinical Social Worker Professional Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ellen Kotkin Licensed Clinical Social Worker Professional Corp's NPI number?
The NPI number for Ellen Kotkin Licensed Clinical Social Worker Professional Corp is 1992485627. It was assigned to this organization in the NPPES registry on July 18, 2023.
Where is Ellen Kotkin Licensed Clinical Social Worker Professional Corp located?
Ellen Kotkin Licensed Clinical Social Worker Professional Corp is located at 16755 Von Karman Ave Ste 200, Irvine, CA 92606. The listed phone number is (949) 929-9244.
What is Ellen Kotkin Licensed Clinical Social Worker Professional Corp's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ellen Kotkin Licensed Clinical Social Worker Professional Corp enrolled in Medicare?
Yes. Ellen Kotkin Licensed Clinical Social Worker Professional Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ellen Kotkin Licensed Clinical Social Worker Professional Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Ellen Kotkin Licensed Clinical Social Worker Professional Corp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ellen Kotkin Licensed Clinical Social Worker Professional Corp was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ellen Kotkin Licensed Clinical Social Worker Professional Corp · NPI 1992485627
Clinical organization in Irvine, California. Organization record, active in the CMS NPPES registry since July 18, 2023.
## Identity
- **NPI:** 1992485627 (Entity type: Organization)
- **Enumerated:** July 18, 2023
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Ellen Kotkin, CEO
## Practice location
- **Address:** 16755 VON KARMAN AVE STE 200, Irvine, CA 92606-4963
- **Phone:** (949) 929-9244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1992485627) · Data from the CMS NPPES public registry.