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

Individual provider Clinical Social Worker · NPI 1457780686

Mrs. Ellen Ruth Kotkin, LCSW is a Clinical Social Worker in Irvine, California. Qualified in 2013, 13 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2013
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

16755 Von Karman Ave
Irvine, CA 92606-4930
Phone: (949) 929-9244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Dove St Ste 215, Newport Beach, CA 92660-2848 — (949) 301-9330

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 73934 (CA)

Record details

NPI number1457780686
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 7, 2013
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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