CHRISTOPHER DAVID KOTCH LCSW NPI 1992471932

NPI Information

NPI: 1992471932
Provider Name: CHRISTOPHER DAVID KOTCH, LCSW
Classification: Clinic/Center - 261QV0200X
Entity Type: Individual

Specialization: VA

Address:
144 FORE ST
PORTLAND, ME
ZIP 04101
Phone: (207) 771-3545
Get Directions

Christopher David Kotch, LCSW is a va clinic center in Portland, ME. Christopher David Kotch, LCSW NPI is 1992471932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

144 FORE ST
PORTLAND, ME
ZIP 04101-843
Phone: (207) 771-3545

The enumeration date for this NPI number is 8/19/2021 and was last updated on 8/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QV0200X	Clinic/Center	VA	LC18099	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LC18099	MEDICAID	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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