MARISA BOTTA LICSW
NPI 1407104086
Social Worker - Clinical in Andover, MA

Active since August 29, 2012
93 MAIN STREET, ANDOVER, MA 01810(617) 851-0834 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marisa Botta Licsw NPPES

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

MARISA BOTTA LICSW (NPI 1407104086) is an individual clinical provider in Andover, Massachusetts, licensed in Massachusetts (116551) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1407104086
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARISA BOTTACredential: LICSW
Location Address93 MAIN STREETAndover, MA 01810
Mailing Address3 Wicker LaneWakefield, MA 01880 · (617) 851-0834
Sole ProprietorNo
Enumeration DateAugust 29, 2012
NPI 1407104086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 116551
Definition
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.
93 MAIN STREET, Andover, MA 01810

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 Marisa Botta's NPI number?

The NPI number for Marisa Botta is 1407104086. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Marisa Botta located?

Marisa Botta practices at 93 Main Street, Andover, MA 01810. The listed phone number is (617) 851-0834.

What is Marisa Botta's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Marisa Botta was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.