Nancy McGrath Bottger, LCSW, SEP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004937 Issued in CT

Practice address

1847 N Benson Rd
Fairfield, CT 06824-3444

Phone

(203) 788-6742

NPI assigned

Oct 30, 2007

Last updated

Jul 27, 2021By the provider in NPPES

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1699954370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 N BENSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243444",
            "telephone_number": "203-788-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 N BENSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243444",
            "telephone_number": "203-788-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTGER",
        "first_name": "NANCY",
        "middle_name": "MCGRATH",
        "name_prefix": "Mrs.",
        "credential": "LCSW, SEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Boorin
• Shayna Borges, OTR/L
• Jolanta Borto, PSY.D.
• Frank Michael Boskello Sr., PHD
• Katherine Bothos, PSY.D
• Vicki Boudin, PSY.D.
• Alla Bourlatskii
• Corey Craig Bousquet, PA-C
• Donna M Bowers, PT
• Garry Boxer

• Clinical Social Worker in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.