Andrea Ellis Bott
NPI 1285278572ActiveIndividual· Social Worker· North Logan, UT
Opted out of Medicare from July 2026 to July 2028. Social Worker in North Logan, Utah, licensed in UT, with an NPI issued in October 2019.
Overview
| NPI | 1285278572 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 30, 2019 |
| Last updated in NPPES | Jul 26, 2023 |
| Certified by provider | Jul 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
| Social Worker, Clinical | 1041C0700X | 6790474-3502 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 17, 2026 – Jul 17, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Other Social Worker providers in North Logan
- 1033094479
- 1730866419
- 1306567672