Susan Kottra, LCSW
NPI 1477837235ActiveIndividual· Social Worker, Clinical· Park Ridge, IL
Social Worker, Clinical (LCSW) in Park Ridge, Illinois, trained at Loyola University of Chicago, Stritch School of Medicine (class of 1997). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1477837235 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Sep 28, 2011 |
| Last updated in NPPES | Mar 15, 2023 |
| Certified by provider | Mar 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149.010457 | IL |
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 (IL) |
|---|
Education and affiliations
| Medical school | Loyola University of Chicago, Stritch School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- The Juniper Center PCPark Ridge, IL · 25 clinicians
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