Shana Kotelchuck, LICSW
NPI 1073648895ActiveIndividual· Social Worker, Clinical· Randolph, VT
Social Worker, Clinical (LICSW) in Randolph, Vermont, licensed in VT, with an NPI issued in February 2007. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1073648895 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Feb 22, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 089-0001123 | VT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (VT) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Other clinical social workers in Randolph
- 1639189137
- 1871044982
- 1568227171
- 1760971139
- 1649935040
- 1912245143
- 1033203278
- 1568703536
- 1528156882
- 1851500029
- 1134381866
- 1225150568
All 17 clinical social workers in Randolph · All clinical social workers in Vermont