Matthew William Botwin, LCSW, MA, DWP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079032-1 Issued in NY

Practice address

225 Broadway
Suite 3400
New York, NY 10007-3054

Phone

(212) 227-1867

NPI assigned

Jun 15, 2010

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1306167242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY",
            "address_2": "SUITE 3400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073054",
            "telephone_number": "212-227-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY",
            "address_2": "SUITE 3400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073054",
            "telephone_number": "212-227-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTWIN",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "credential": "LCSW, MA, DWP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079032-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bottone
• Kristin Lynn Bottone, PA-C
• Kendall Bottrell, PHYSICIAN ASSISTANT
• Leslie Anne Bottrell, MBBS
• Gilbert J Botvin, PHD
• Adira Lautman Botwinick, L.M.S.W.
• Nelson G Botwinick, M.D.
• Sidney Rae Boty, PA-C
• Jad Marwan Bou Ayache, M.D.
• Rabih Bou Nassif, MD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.