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ANDREA ELLIS BOTT
NPI 1285278572
Social Worker in North Logan, UT

Active since October 30, 2019PECOS Enrolled
2072 N MAIN ST STE 205, NORTH LOGAN, UT 84341(435) 213-1638 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 26, 2023, Aug 25, 2020, Oct 30, 2019 (3 updates tracked since 2019).

About Andrea Ellis Bott NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA ELLIS BOTT (NPI 1285278572) is an individual social worker in North Logan, Utah and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Logan.

NPPES Registry Identity

NPI1285278572
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameANDREA ELLIS BOTT
Location Address2072 N MAIN ST STE 205North Logan, UT 84341-1700
Mailing Address43 N 750 ELogan, UT 84321-4945 · (435) 752-5302
Phone(435) 213-1638
Sole ProprietorNo
Enumeration DateOctober 30, 2019
Last NPPES UpdateJuly 26, 20233 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1285278572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6790474-3502 (UT)
2072 N MAIN ST STE 205, North Logan, UT 84341
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Secondary Practice Location 1

Location 1175 W 1400 N Ste ALogan, UT 84341-6816 · Phone (435) 752-5302

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Ellis Bott is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Bott's NPI number?

The NPI number for Andrea Bott is 1285278572. It was assigned to this individual provider in the NPPES registry on October 30, 2019.

Where is Andrea Bott located?

Andrea Bott practices at 2072 N Main St Ste 205, North Logan, UT 84341. The listed phone number is (435) 213-1638.

What is Andrea Bott's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Andrea Bott enrolled in Medicare?

Yes. Andrea Bott is registered in the Medicare PECOS enrollment system.

What insurance does Andrea Bott accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Andrea Bott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Bott was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.