Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTIN BOTHWELL, LICSW
ActiveKRISTIN BOTHWELL, LICSW is a Clinical Social Worker healthcare provider located in PETERSON SPACE FORCE BASE, Colorado. NPI 1417123191 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PETERSON SPACE FORCE BASE, CO
Registration Details
- NPI Number
- 1417123191
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2008 (18.102705668104 yrs)
- Last Updated
- Sep 20, 2023
- Licenses
-
116933 (MA)96216 (CA)
Practice Information
- Address
-
NEXT-559 VINCENT ST.SPACE BASE DELTA 1PETERSON SPACE FORCE BASE, CO, 809140000Browse CO providers · Browse ZIP 80914
- Phone
- 6174136275
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in PETERSON SPACE FORCE BASE, CO
| Name | Credential | NPI |
|---|---|---|
| MRS. CYNTHIA ANN MILLER WYATT | LCSW | 1144207721 |
| LACEY L MILLS | — | 1114413598 |
| KATHRYN E O'CONNELL | LCSW | 1215609763 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.