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Active NPI 1457499808 Individual Practitioner Male Practitioner

Paul Botticelli , LCSW

Social Worker • Coram, NY

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Paul Botticelli, LCSW is a certified Social Worker practicing in Coram, NY. With approximately 43 years of clinical experience since completing medical education in 1983, Paul Botticelli delivers high-quality medical care to the local community at 24 WILLOW DR.

Paul Botticelli does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24 Willow Dr

Coram, NY 117274147

Telephone 6319874817
Associated Practice Facility / Clinic
🏢 Paul J Botticelli Lcsw Pc Facility NPI 1881294338

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Coram, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
43 Yrs +26.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
46 Specialists

Practicing in Coram, NY (23970 Statewide)

Telehealth Adoption Rate
6.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
17.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Botticelli (43 Years) 43 Yrs
Coram Specialty Average (17.0 Years) 17.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
627 21 $126.60 $122.77
90791 Psychiatric diagnostic evaluation
20 13 $189.51 $139.75

Medical Specialties & State Licenses

CMS Verified: 2026-03-03
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY PR0276581NY

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Empire Bc/bs
N362G1 (NY)
Commercial Insurance / Payer ID Oxford
P3093904 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 03, 2026

Registered at 24 WILLOW DR, CORAM, NY 117274147 (Tel: 6319874817)

📍
Updated Business Mailing Address March 03, 2026

Registered at 24 WILLOW DR, CORAM, NY 117274147 (Tel: 6319874817)

📍
Updated Practice Location February 09, 2021

Registered at 22 SOUTHERN BLVD STE 111, NESCONSET, NY 117671086 (Tel: 6316891728)

NPI Profile Active March 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2015

Registered at 100 S JERSEY AVE, UNIT 42, EAST SETAUKET, NY 117332034 (Tel: 6316891728)

📍
Updated Business Mailing Address March 19, 2015

Registered at 379 POND PATH, SETAUKET, NY 117331020 (Tel: 6316897144)

👤
Provider Name / Credentials Updated March 19, 2015

Recorded as PAUL BOTTICELLI, L.C.S.W.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2015

Social Worker (License #PR0276581NY in NY)

🟢
Initial NPI Registration & Enumeration February 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457499808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2007
Last Update: March 03, 2026
Sole Proprietor: Yes

Mailing Address

24 Willow Dr

Coram, NY 117274147

Phone: 6319874817

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.