Mark Howard Bottinick, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10371 Issued in MD

Practice address

8720 Georgia Ave
Ste 808
Silver Spring, MD 20910-3638

Phone

(301) 775-4503

Fax

(301) 513-5997

NPI assigned

Dec 17, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912060666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 FAIRVIEW RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104141",
            "telephone_number": "301-775-4503",
            "fax_number": "301-513-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE",
            "address_2": "STE 808",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103638",
            "telephone_number": "301-775-4503",
            "fax_number": "301-513-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTINICK",
        "first_name": "MARK",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND ID",
            "identifier": "QH40M",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC PROVIDER ID",
            "identifier": "G435-0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Michael Bossie, MD
• Tamara Heckman Bossler
• Andrew George Boston, M.D.
• David Matthew Botman, MD
• Emad Botros, RPH
• Ashleigh Cassandra Bouchelion, M.D., PH.D.
• Boucree & Associates
• Stanley A Boucree Sr., D.D.S., M.S.
• Stanley Anthony Boucree Jr., DDS, MD
• Katiana Bouda Batako

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Social Worker in Maryland

• 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.