Individual provider · Type 1 NPI

Evan Bothman, CSW

Clinical Social Worker · Maysville, KY

NPI number 1497144760 Active

Practice location

910 Kenton Station Dr
Maysville, KY 41056-9613

Mailing address

611 Forest Ave
Maysville, KY 41056-1411

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X254612 (KY)

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 1497144760

Evan Bothman, CSW's National Provider Identifier is 1497144760, issued on Jan 9, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maysville, KY. The record was last updated on Dec 13, 2022.