Larry Fred Bottin, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2007000615 Issued in MO

Practice address

4801 Linwood Boulevard
Kansas City, MO 64128

Phone

(816) 861-4700

Fax

(816) 922-3317

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114050259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13008 W 102ND TERRACE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "62215",
            "telephone_number": "913-307-0155",
            "fax_number": "816-922-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 LINWOOD BOULEVARD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64128",
            "telephone_number": "816-861-4700",
            "fax_number": "816-922-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTIN",
        "first_name": "LARRY",
        "middle_name": "FRED",
        "name_prefix": "Mr.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2007000615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Boston, PHLEBOTOMIST
• Mary Anne Boston, LCSW
• Erin O'Grady Boswell, PHARMD
• Jill Boswell
• Amber Krysta Botros, DO
• Richard Bottoms, FNP-C
• Douglas J Bottorff
• Isabelle M Bouchard, RDN
• Joshua P Boucher, O.D.
• David William Bouda, MD

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.