Misty Bottorff, LICSW, LCSW | |
14406 Ne 20th Ave, Vancouver, WA 98686-1448 | |
(360) 558-2046 | |
Not Available |
Full Name | Misty Bottorff |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 14406 Ne 20th Ave, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295147254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L7371 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | LW61178394 (Washington) | Primary |
Entity Name | Columbia Lutheran Charities |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20021217000028 |
Mailing Address | Practice Location Address |
---|---|
Misty Bottorff, LICSW, LCSW 14406 Ne 20th Ave, Vancouver, WA 98686-1448 Ph: (360) 558-2046 | Misty Bottorff, LICSW, LCSW 14406 Ne 20th Ave, Vancouver, WA 98686-1448 Ph: (360) 558-2046 |
Rachel Krokus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 E Fourth Plain Blvd, V3satp, Vancouver, WA 98661 Phone: 503-220-8262 | |
Stephanie Bieber, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15515 Ne 41st St, Vancouver, WA 98682 Phone: 360-609-1328 | |
Gayle Dukart-hardy, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Ne Andresen Rd, Suite D-9, Vancouver, WA 98661 Phone: 360-694-8558 | |
Mr. Joseph Melvin Klemz, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1498 Se Tech Center Pl, Suite 385, Vancouver, WA 98683 Phone: 360-619-2226 | |
Brody Tucker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12607 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-558-2456 | |
Angela Giacalone, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 Ne 68th St # B3, Vancouver, WA 98665 Phone: 360-209-2169 | |
Hannah Joslin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13505 Ne 10th Ave, Vancouver, WA 98685 Phone: 303-433-9664 |