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MR. WILLIAM RUSSELL BOTT MSW
NPI 1972699445
Social Worker in Peoria, IL

Active since October 04, 2006PECOS Enrolled
411 MARTIN LUTHER KING JR DR, PEORIA, IL 61605(309) 497-0790(309) 497-3564 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. William Russell Bott Msw NPPES

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

MR. WILLIAM RUSSELL BOTT MSW (NPI 1972699445) is an individual social worker in Peoria, Illinois and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972699445
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. WILLIAM RUSSELL BOTTCredential: MSW
Location Address411 MARTIN LUTHER KING JR DRPeoria, IL 61605
Mailing Address3 Sherry StMackinaw, IL 61755 · (309) 497-0790 · Fax (309) 497-3564
Phone(309) 497-0790
Fax(309) 497-3564
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972699445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
411 MARTIN LUTHER KING JR DR, Peoria, IL 61605
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William Russell Bott Msw 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATHY ANN THOMAS MSW
Social Worker (Clinical)
411 MARTIN LUTHER KING JR DR
PEORIA, IL 61605
Peoria County (309) 497-0790
DR. SREEDEVI VENKATESH AU.D
Audiologist
411 MARTIN LUTHER KING JR DR
PEORIA, IL 61605
Peoria County (309) 497-0790
DR. NASSER MIKHAIL GAYED M.D.
Internal Medicine
411 MARTIN LUTHER KING JR DR
PEORIA, IL 61605
Peoria County (309) 497-0790
MICHAEL A FRASCA M.D.
Internal Medicine
411 MARTIN LUTHER KING JR DR
PEORIA, IL 61605
Peoria County (309) 497-0790

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 William Bott's NPI number?

The NPI number for William Bott is 1972699445. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is William Bott located?

William Bott practices at 411 Martin Luther King Jr Dr, Peoria, IL 61605. The listed phone number is (309) 497-0790.

What is William Bott's specialty?

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

Is William Bott enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for William Bott was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.