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

Michelle Bothmann, LICSW

Individual provider Clinical Social Worker · NPI 1801321658

Michelle Bothmann, LICSW is a Clinical Social Worker in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.

Licensed in
MA
In the registry since
2017
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

133 Brookline Ave
Boston, MA 02215-3904
Phone: (617) 421-1157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 121630 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 222122 (MA)

Record details

NPI number1801321658
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 28, 2017
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021

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