Lynn Botsaris, LICSW
Individual provider Active NPI Clinical Social Worker · Boylston, MA
NPI 1427397017 · NPPES record last updated Feb 3, 2013
Key facts
- NPI
- 1427397017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 110040 (MA)
- Practice address
- 107 Stiles Rd
Boylston, MA 01505-1548 - Phone
- (774) 364-1880
- NPI assigned
- Feb 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110040 | MA | Yes |
Addresses
Primary practice location
107 Stiles Rd
Boylston, MA 01505-1548
Mailing address
107 Stiles Rd
Boylston, MA 01505-1548
Phone (774) 364-1880
Other providers in Boylston, MA
- Carol Audet
- Tara Azzarone
- Jillian Barnaby
- Joanna M Bauer
- Berlin Boylston Regional School District
- Boylston Dental Associates
- Megan Burke
- Jonila Buzzell
- Alicia Cecchini
- Miriam Chouki
All providers in Boylston, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2013. 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.