MR. LARRY FRED BOTTIN (NPI# 1114050259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114050259 |
| Entity Type | Individual |
| Full Name | MR. LARRY FRED BOTTIN |
| Credential | MSW LICSW |
| Practice Address |
4801 Linwood Boulevard Kansas City MO 64128 |
| Mailing Address |
13008 W 102nd Terrace Lenexa KS 62215 |
| Practice Telephone | 8168614700 |
| Practice Fax Number | 8169223317 |
| Mailing Telephone | 9133070155 |
| Mailing Fax Number | 8169223317 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2007000615 | MO | Behavioral Health & Social Service Providers |
| Street Address |
4801 LINWOOD BOULEVARD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669402400 | Sharad Chandra Mathur | Pathology | 4801 Linwood Boulevard, Pathology and Laboratory Medicine Service, Va Med Ctr, Kansas City, MO 64128 | 2006-07-04 |
| 1073820452 | Kristin Gail Fish | Pharmacist | 4801 Linwood Boulevard, Kansas City, MO 64128 | 2010-09-08 |
| 1548361066 | Jason W Grace | Pharmacist | 4801 Linwood Boulevard, Kansas City, MO 64128 | 2006-09-26 |
| 1124126446 | Padmavathi Kavuru | Radiology | 4801 Linwood Boulevard, Kansas City, MO 64128 | 2006-09-20 |
| 1487672648 | Hemant Krishna Thakur | Psychiatry & Neurology | 4801 Linwood Boulevard, Va Medical Center, Kansas City, MO 64128 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679927305 | Sobrina Sarah Mohammed | Internal Medicine | 3130 Mersington Ave, Kansas City, MO 64128 | 2016-04-19 |
| 1316300601 | Waled Bahaj | Internal Medicine | 3120 Mersington Ave, Kansas City, MO 64128 | 2016-04-04 |
| 1457732521 | Edward Stewart | Contractor | 2816 Bales Ave, Kansas City, MO 64128 | 2015-06-15 |
| 1144618869 | Kimberly Bergman | Social Worker | 4801 E Linwood Blvd., Kansas City, MO 64128 | 2015-01-05 |
| 1861826836 | Shelly K Miller | Registered Nurse | 2701 East 31st St, Kansas City, MO 64128 | 2013-08-27 |
| 1487890778 | School District of Kansas City, Mo | Clinic/Center | 3221 Indiana Ave., Kansas City, MO 64128 | 2008-12-17 |
| 1912177635 | Dr. Valentenia Daugherty and Dr. Alvin R. Smith, PC | Podiatrist | 2713 East 31st Street, Kansas City, MO 64128 | 2008-03-10 |
| 1649454844 | Allison Kay Ambrose | Pharmacist | 4801 East Linewood Boulevard, Kansas City, MO 64128 | 2007-12-24 |
| 1073720058 | Ram N Kamath | Internal Medicine | Kc-vamc, 4801 Linwood Blvd, Kansas City, MO 64128 | 2007-05-17 |
| 1003937020 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 2701 E 31st St, Kansas City, MO 64128 | 2007-04-03 |
| Find all providers in zip 64128 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850870 | Convergence Counseling Services, LLC | Social Worker | 7612 E 113th St, Kansas City, MO 64134-2946 | 2020-10-26 |
| 1336756949 | Megan Krystal Draper | Social Worker | 8425 Locust St, Kansas City, MO 64131-2223 | 2020-09-28 |
| 1114533411 | Cheryl Gunn Seidler | Social Worker | 7211nw 83rd Street Suite 350, Kansas City, MO 64152-6415 | 2020-09-22 |
| 1871106989 | Anne Mari Bethune | Social Worker | 1260 W 59th St, Kansas City, MO 64113-1149 | 2020-08-28 |
| 1922619154 | Alicia D Smith | Social Worker | 8816 E 110th St, Kansas City, MO 64134-3036 | 2020-08-11 |
| 1912523119 | Crystal Rose Reckker | Social Worker | 1204 Ne 85th Ter, Kansas City, MO 64155-2671 | 2020-06-23 |
| 1013530054 | Carol Thoma-perry | Social Worker | 516 E 66th Ter, Kansas City, MO 64131-1144 | 2020-05-26 |
| 1972125193 | Jena Fouraker | Social Worker | 1000 E 24th St Ste 2e, Kansas City, MO 64108-2776 | 2020-05-11 |
| 1568095354 | Thomas Counseling LLC | Social Worker | 3000 Ne Brooktree Ln Ste 230, Kansas City, MO 64119-1890 | 2020-02-19 |
| 1942856760 | Paola Maria Capra | Social Worker | 11509 Campbell St, Kansas City, MO 64131-3830 | 2019-08-16 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64128 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.