Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberlie A Wottawa, LMSW

Individual provider Social Worker · NPI 1598807968

Kimberlie A Wottawa, LMSW is a Social Worker in Lake Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

51 School St
Lake Ronkonkoma, NY 11779-2231
Phone: (631) 471-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 060153 (NY)

Record details

NPI number1598807968
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023

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