Individual provider · Type 1 NPI

Larry Fred Bottin, MSW LICSW

Clinical Social Worker · Kansas City, MO

NPI number 1114050259 Active

Practice location

4801 Linwood Boulevard
Kansas City, MO 64128

Call (816) 861-4700 Map

Fax (816) 922-3317

Mailing address

13008 W 102nd Terrace
Lenexa, KS 62215

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2007000615 (MO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114050259

Larry Fred Bottin, MSW LICSW's National Provider Identifier is 1114050259, issued on Mar 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kansas City, MO. The record was last updated on Jul 8, 2007.