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

Marisa Botta, LICSW

Individual provider Clinical Social Worker · NPI 1407104086

Marisa Botta, LICSW is a Clinical Social Worker in Andover, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2012.

Licensed in
MA
In the registry since
2012
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

93 Main St
Andover, MA 01810
Phone: (617) 851-0834
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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 116551 (MA)

Record details

NPI number1407104086
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 29, 2012
Last updated in NPPESAugust 29, 2012

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