Marisa Botta, LICSW
Social Worker, Clinical in Andover, Massachusetts
1407104086- Practice location
- 93 Main Street, Andover, MA 01810
- Phone
- 617-851-0834
- 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 - City
- Andover
- State
- Massachusetts
- Zip
- 01810
- Phone Number
- 617-851-0834
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Andover, MA
View all Social Worker, Clinical providers in Andover →- Adrienne Dussault, LICSWSocial Worker, Clinical · NPI 1811076128
- Alexandra Danner, MSWSocial Worker, Clinical · NPI 1356168421
- Alexandra Hamel, LICSWSocial Worker, Clinical · NPI 1245849959
- Alicia M. Abdella, MSW, Licsw LLCSocial Worker, Clinical · NPI 1639745169
- Amanda DegenovaSocial Worker, Clinical · NPI 1801379011
- Amy Beaulieu, LICSWSocial Worker, Clinical · NPI 1114223443
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.