Shana Kotelchuck, LICSW
NPI 1073648895 · Clinical Social Worker · Randolph, VT
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shana Kotelchuck, LICSW is a Clinical Social Worker provider in Randolph, VT (NPI 1073648895).
Provider details
- NPI number
- 1073648895
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 089-0001123 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Shana Kotelchuck's NPI number?
- Shana Kotelchuck's National Provider Identifier (NPI) is 1073648895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shana Kotelchuck's specialty?
- Shana Kotelchuck is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shana Kotelchuck located?
- Shana Kotelchuck's practice location on file with NPPES is 11 S Main St, Randolph, VT 05060-1330.
- What is Shana Kotelchuck's phone number?
- The practice phone number listed in the NPPES registry for Shana Kotelchuck is (802) 728-4466.
- Does Shana Kotelchuck accept Medicare?
- Shana Kotelchuck is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shana Kotelchuck's NPI active?
- Yes — Shana Kotelchuck's NPI (1073648895) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.