IndividualActive
Adam Kotowski, LSW, MSW, MBA
NPI 1962360610 · Social Worker · Mazon, IL
Provider details
- NPI number
- 1962360610
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LSW, MSW, MBA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 150.116309 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
606 Depot St
Mazon, IL 60444-3703
Phone: (815) 315-8380
Fax: (815) 315-8381
Approximate (ZIP-level) locationGet directions
Mailing address
606 Depot St
Mazon, IL 60444-3703
Registry dates
- Enumerated
- 2026-01-12
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.