Active NPIIndividual provider

Marisa Botta, LICSW

Social Worker, Clinical in Andover, Massachusetts

NPI Number1407104086
Practice location
93 Main Street, Andover, MA 01810
Fax
—
Last updated
August 29, 2012

Marisa Botta is a Social Worker, Clinical based in Andover, MA. Marisa Botta practices in Andover, MA and has the professional credentials of LICSW. The NPI Number for Marisa Botta is 1407104086 and holds a License No. 116551 (MA). The current practice location address for Marisa Botta is 93 Main Street, Andover, MA 01810 and can be reached out via phone at 617-851-0834.

Provider Profile Details

NPI Number
1407104086
Provider Name
Marisa Botta
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
93 Main Street, Andover, MA 01810
Phone Number
617-851-0834
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2012
Last Update Date
August 29, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
93 Main Street
Andover, MA 01810
Zip
01810
Phone Number
617-851-0834
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
3 Wicker Lane
Wakefield, MA 01880
City
Wakefield
State
MA
Zip
01880
Phone Number
617-851-0834

License Information

License Number
116551
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marisa Botta, LICSW?

The NPI number of Marisa Botta, LICSW is 1407104086. It was assigned on August 29, 2012 and is currently active in the NPPES registry.

What is the specialty of Marisa Botta, LICSW?

Marisa Botta, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116551.

Where does Marisa Botta, LICSW practice?

The practice location is 93 Main Street, Andover, MA 01810. The office can be reached at 617-851-0834 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407104086 directly on the NPPES registry website.

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