Joseph Y Botnick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW001895 Issued in GA

Practice address

1430 Stephens Dr NE
Atlanta, GA 30329-3716

Phone

(404) 245-6536

NPI assigned

Jun 17, 2008

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

Medicare fee-for-service enrollment

Enrolled in GA

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Psychiatric and Medical ConsultantsGroup PAC ID 5890838718, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Psychiatric and Medical Consultants

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1285963595
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1982864591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 STEPHENS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293716",
            "telephone_number": "404-245-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 STEPHENS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293716",
            "telephone_number": "404-245-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTNICK",
        "first_name": "JOSEPH",
        "middle_name": "Y",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maame Tekyiwa Botchway, MD, MPH
• Patti Colleen Boteilho, AGACNP-BC
• Phil Botha, MBCHB, PHD
• Kate Bothwell-Wendel
• Beth S Botnick, NP
• Rita Sinkoe Botnick, OD
• Anthony N Botros
• Laurie K. Botstein, M.S./C.C.C.
• Kara Yvette Botters
• Deborah Ida Botti, MD

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.