Larry Fred Bottin is a Clinical in Lenexa, Kansas. Larry Fred Bottin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry Fred Bottin is 1114050259. The last update date is 2007-07-08.
Larry Fred Bottin's current location address is 13008 W 102nd Terrace, Lenexa, Kansas. You can contact this provider via phone number 9133070155 and fax number 8169223317. The mailing address for Larry Fred Bottin is 13008 W 102nd Terrace, Lenexa, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Fred Bottin |
|---|---|
| Address | 13008 W 102nd Terrace, Lenexa, Kansas |
| Phone Number | 9133070155 |
| Fax Number | 8169223317 |
| Sole Proprietor | N |
| Credentials | MSW LICSW |
NPI Number Detail
| NPI Number | 1114050259 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13008 W 102nd Terrace |
|---|---|
| City | Lenexa |
| State | Kansas (KS) |
| Post Code | 62215 |
| Phone Number | 9133070155 |
| Fax Number | 8169223317 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2007000615 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Larry Fred Bottin?
The Larry Fred Bottin has been issued the NPI (National Provider Identifier) 1114050259 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Larry Fred Bottin is physically located?
The Larry Fred Bottin is situated at the following address: 13008 W 102Nd Terrace, Lenexa, KS 62215.
What is Larry Fred Bottin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larry Fred Bottin is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114050259 to Larry Fred Bottin?
The Centers for Medicare & Medicaid Services originally issued the 1114050259 to Larry Fred Bottin on 2007-03-14.
When was the information pertaining to Larry Fred Bottin most recently updated or revised?
The details related to Larry Fred Bottin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1235130048
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