Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL CHARLES BOTNICK, MSW
Active Sole ProprietorMR. MICHAEL CHARLES BOTNICK, MSW is a Clinical Social Worker healthcare provider located in COEUR D' ALENE, Idaho. NPI 1801980370 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · COEUR D' ALENE, ID
Registration Details
- NPI Number
- 1801980370
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.825477570005 yrs)
- Last Updated
- Jul 8, 2007
- License
-
CSW11 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
118 NORTH 7TH STREET SUITE B-12COEUR D' ALENE, ID, 83814Browse ID providers · Browse ZIP 83814
- Phone
- 2086676606
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.