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Contact Information

ALICE OBRIEN BOTTS, LMSW
80 WILLIAM DONNELLY PARKWAY
WAVERLY, NY14892
 Phone: 607-565-9594
 Fax: 607-565-7194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ALICE OBRIEN BOTTS · (Female)

NPI Number 1104971092
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 01/24/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 073875-1
  • NY Medicaid 00618162
  • NY Other 073875-1 LMSW LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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