VICKY ANN BOETTCHER


Address: 701 Phillips Pl, Huntsville, AR 72740-6266
Phone: 4797502020

VICKY ANN BOETTCHER (NPI# 1376572263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376572263
Entity Type Individual
Full Name VICKY ANN BOETTCHER
Other Name VICKY ANN ANTELL
Credential LCSW
Practice Address 701 Phillips Pl
Huntsville
AR 72740-6266
Mailing Address Po Box 6430
Springdale
AR 72766-6430
Practice Telephone 4797502020
Practice Fax Number 4797381132
Mailing Telephone 4797502020
Mailing Fax Number 4797381132
Enumeration Date 2006-07-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
1517-C AR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR BLUE SHIELD PROVIDER # 5S978 01

Office Location

Street Address 701 PHILLIPS PL
City HUNTSVILLE
State AR
Zip Code 72740-6266

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790723765 Marianne Lombari-nelle Counselor 701 Phillips Pl, Huntsville, AR 72740-6266 2006-06-03
1134438955 Madison County Imaging Center Clinic/Center 701 Phillips Pl, Suite 1, Huntsville, AR 72740-6266 2010-09-28
1154334423 Danny Doyle Baker Counselor 701 Phillips Pl, Suite 1, Huntsville, AR 72740-6266 2006-08-15
1306858907 Katrina Anne Mcleod Genetic Counselor, MS 701 Phillips Pl, Suite 1, Huntsville, AR 72740-6266 2006-08-12
1205872546 Otto Rollwage Kirkpatrick Jr. Social Worker 701 Phillips Pl, Huntsville, AR 72740-6266 2006-06-22
1598700064 Mary Louise Child Genetic Counselor, MS 701 Phillips Pl, Huntsville, AR 72740-6266 2006-06-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356536387 Melissa K Brannan Marriage & Family Therapist 405 W. Main Street, Huntsville, AR 72740 2007-09-12
1710187588 St Johns Clinic Inc Obstetrics & Gynecology 705 Phillips, Huntsville, AR 72740 2007-07-20
1114040375 Patricia Retterer Lemmer Speech-Language Pathologist 133 School Drive, Huntsville Middle School, Huntsville, AR 72740 2007-04-10
1871615518 Huntsville School District Local Education Agency (LEA) 570 West Main, Huntsville, AR 72740 2007-04-04
1679618250 Danny L. Ray Pharmacist 601 North Gaskill Street, Huntsville, AR 72740 2007-02-21
1427105667 Thomas Louie Embry Family Medicine 705 Phillips Place, Huntsville, AR 72740 2007-01-03
1649339755 Sheila Jeanette Chapman Case Manager/Care Coordinator 701 Phillips, Suite 1, Huntsville, AR 72740 2006-12-06
1811056864 Melissa Brooke Lowrimore Case Manager/Care Coordinator 710 Huntsville, Suite 1, Huntsville, AR 72740 2006-12-06
1225197510 Maria Luann Thompson-mcsperitt Case Manager/Care Coordinator 701 Phillips Suite 1, Huntsville, AR 72740 2006-12-06
1326129040 Clyde Maxwell Norris Chiropractor 510 S Harris, Huntsville, AR 72740 2006-10-18
Find all providers in zip 72740

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225637978 Authentic Counseling Services, LLC Social Worker 3605 Governors Dr Sw Unit 7312, Huntsville, AL 35807-5062 2020-10-23
1366053795 Jeronica D Frierson Social Worker 121 Rose Dr, Huntsville, AL 35811-9015 2020-08-10
1982249421 Shirlene Allyson Briggs Social Worker 3202 Clifford Rd Nw, Huntsville, AL 35810-2912 2019-11-07
1629553482 Journey To New Beginnings Social Worker 2901 Fairbanks Drive, Huntsville, AL 35816 2018-09-27
1396229431 Serenity Solutions Behavioral Health LLC Social Worker 115 Longwood Dr Sw Ste D, Huntsville, AL 35801-4500 2018-09-24
1548748312 Jane O. Orton, Licsw, LLC Social Worker 120 Holmes Ave Ne, Huntsville, AL 35801 2018-08-02
1831696608 Jessica Zimmermann Social Worker 7800 Madison Blvd Ste 705, Huntsville, AL 35806-2049 2018-04-09
1083127021 Juliet Latanya Wise Social Worker 2700 Fairbanks St Nw, Huntsville, AL 35816-2432 2017-11-13
1184151789 Denise B. Mullaney Social Worker 333 Franklin St Se Ste 300, Huntsville, AL 35801-4264 2017-05-15
1427503382 Adriane Michelle Howard Social Worker 2335 Pansy St Sw, Huntsville, AL 35801-3828 2016-08-22
Find all providers in HUNTSVILLE

Competitor

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City HUNTSVILLE
Zip Code 72740

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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