Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Ellis Bott

Individual provider Clinical Social Worker · NPI 1285278572

Andrea Ellis Bott is a Clinical Social Worker in North Logan, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2072 N Main St Ste 205
North Logan, UT 84341-1700
Phone: (435) 213-1638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 175 W 1400 N Ste A, Logan, UT 84341-6816 — (435) 752-5302

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 6790474-3502 (UT)

Record details

NPI number1285278572
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2019
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023

Other providers in North Logan