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

Mr. Paul Botticelli, LCSW

Individual provider Social Worker · NPI 1457499808

Mr. Paul Botticelli, LCSW is a Clinical Social Worker in Coram, New York. Qualified in 1983, 43 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
43
Licensed in
NY
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

24 Willow Dr
Coram, NY 11727-4147
Phone: (631) 987-4817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence PR0276581NY (NY)

Record details

NPI number1457499808
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 1, 2007
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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