Search › New York › 104100000X

Kimberlie Wottawa, LMSW

NPI 1598807968 · on the registry since 2007

Practice

Address
51 School St
Lake Ronkonkoma, NY 11779
Phone
(631) 471-1700
Organisation at this address
Sachem Central School District
Sachem Central School District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York