Dawn Rae Bottorff, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

12039 Reisterstown Rd
Reisterstown, MD 21136-3042

Phone

(410) 527-5000

Fax

(410) 833-4102

NPI assigned

Nov 28, 2018

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

Other identifiers 1

Other names 1

• Dawn Rae Yoder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1942770375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 WHITE PINE RD APT E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212203232",
            "telephone_number": "574-533-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12039 REISTERSTOWN RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363042",
            "telephone_number": "410-527-5000",
            "fax_number": "410-833-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTORFF",
        "first_name": "DAWN",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHMH",
            "identifier": "12648",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "YODER",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Body Basics Wellness Center LLC
• Mark Anthony Boissonneault, DPM
• William Anthony Bolesta, BOC
• Rebecca Bolton, LCPC
• Barbara Ann Borcik, MS, RD, LD, CDE
• Lisa Ann Bowerman, PHARMD, RPH
• Carleah Bowling, LMT, CPHT
• Kathleen Rebecca Bowling, LMT, CMLDT
• Tina Dennell Bracy, NURSE PRACTITIONER
• Melissa Brendel

• Clinical Social Worker in Reisterstown, MD
• Providers in Reisterstown, 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 Nov 28, 2018; 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.