Botts Therapy and Consulting LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05583000 Issued in NJ

Legal business name

BOTTS THERAPY AND CONSULTING LLC

Practice address

104 Manhattan Ave
Jersey City, NJ 07307-3021

Phone

(616) 893-4519

NPI assigned

Mar 1, 2016

Last updated

Mar 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Beth Botts, LCSWNPI 1457788903

Title

Member

Phone

(616) 893-4519

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Beth Botts, LCSW, LCADC

  • Clinical Social Worker
  • Florham Park, NJ
  • NPI 1457788903
  NPD (past) Authorized official

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1578923769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MANHATTAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MANHATTAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073021",
            "telephone_number": "616-893-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTTS THERAPY AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "BOTTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-893-4519",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05583000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Anthony Borowicz Jr., DMD
• Sherri Boseski, A.P.N.-C
• Margarita Maria Bossa, L.S.W
• Tyisha Boston
• Ihab Botros
• Kimberly Alexis Boulos, NJ LMT #18KT01515000
• Mona Boulos, MD
• Boundless Pathways LLC
• Katerine Boutros
• Jeanine Gabrele Bowen, CRNA

• Clinical Social Worker in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.