Regan Sue Ann Botkin, LMSW
Individual provider Active NPI Social Worker · Emporia, KS
NPI 1033724596 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1033724596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 11738 (KS)
- Practice address
- 618 Commercial St
Emporia, KS 66801-3969 - Phone
- (620) 794-6328
- NPI assigned
- Sep 11, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11738 | KS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11738 | KS | Yes |
Addresses
Primary practice location
618 Commercial St
Emporia, KS 66801-3969
Mailing address
1219 Red Wheat Dr
Emporia, KS 66801-7994
Phone (620) 228-3513
Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.