| Andrea Ellis Bott, | |
|
2072 N Main St Ste 205, North Logan, UT 84341-1700 | |
| (435) 213-1638 | |
| Not Available |
| Full Name | Andrea Ellis Bott |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 2072 N Main St Ste 205, North Logan, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285278572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6790474-3502 (Utah) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Ellis Bott, 43 N 750 E, Logan, UT 84321-4945 Ph: (435) 752-5302 | Andrea Ellis Bott, 2072 N Main St Ste 205, North Logan, UT 84341-1700 Ph: (435) 213-1638 |
Dana Marie Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 186 E 1800 N Ste 1, North Logan, UT 84341 Phone: 435-213-3026 | |
Rachel White, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 50 E 2500 N Ste 104, North Logan, UT 84341 Phone: 435-213-1109 | |
Samuel Harris Pond, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2027 N 200 E, North Logan, UT 84341 Phone: 435-764-6312 | |
Leila Elmi-stuart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 93 E 1600 N, North Logan, UT 84341 Phone: 435-279-6036 Fax: 435-753-9047 | |
Heather Elizabeth Olsen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 186 E 1800 N, North Logan, UT 84341 Phone: 435-754-9554 Fax: 435-752-1095 | |
Nathan Mcclure, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2444 N 200 E, North Logan, UT 84341 Phone: 435-213-5722 |