| John D Kotler Psychotherapy Llc | |
|
5480 Wisconsin Ave Ste 227 Chevy Chase MD 20815-3500 | |
| (301) 785-9490 | |
| (301) 493-4981 |
| Full Name | John D Kotler Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5480 Wisconsin Ave Ste 227, Chevy Chase, Maryland |
| Authorized Official Name and Position | John David Kotler (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3017859490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John D Kotler Psychotherapy Llc 5480 Wisconsin Ave Ste 227 Chevy Chase MD 20815-3500 Ph: (301) 785-9490 | John D Kotler Psychotherapy Llc 5480 Wisconsin Ave Ste 227 Chevy Chase MD 20815-3500 Ph: (301) 785-9490 |
| NPI Number | 1871288407 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Medicare PECOS PAC ID | 7113364787 |
|---|---|
| Medicare Enrollment ID | O20240319003192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871288407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | John David Kotler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639595812 PECOS PAC ID: 8022455690 Enrollment ID: I20240319003272 |
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