Kristin Bothwell, LICSW
NPI 1417123191 · Clinical Social Worker · Peterson Space Force Base, CO
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristin Bothwell, LICSW is a Clinical Social Worker provider in Peterson Space Force Base, CO (NPI 1417123191).
Provider details
- NPI number
- 1417123191
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 116933 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-02
- Last updated
- 2023-09-20
- Certified
- 2023-09-19
Frequently asked questions
- What is Kristin Bothwell's NPI number?
- Kristin Bothwell's National Provider Identifier (NPI) is 1417123191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristin Bothwell's specialty?
- Kristin Bothwell is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kristin Bothwell located?
- Kristin Bothwell's practice location on file with NPPES is Next-559 Vincent St., Peterson Space Force Base, CO 80914-0000.
- What is Kristin Bothwell's phone number?
- The practice phone number listed in the NPPES registry for Kristin Bothwell is (617) 413-6275.
- Does Kristin Bothwell accept Medicare?
- Kristin Bothwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristin Bothwell's NPI active?
- Yes — Kristin Bothwell's NPI (1417123191) is active in the NPPES registry as of the last update on 2023-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.