Individual ProviderAlicia Jean BottSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5965 S 900 E, Salt Lake City, UT 84121-1720(801) 263-7225PECOS EnrollmentBased on the most recent information from CMS, provider Alicia Jean Bott does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1467760116Provider TypeIndividualFull NameBott, Alicia JeanCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date9/15/2010Last Updated6/6/2013Contact InformationPractice LocationPractice Address5965 S 900 E, Salt Lake City, UT 84121-1720Phone(801) 263-7225Fax(801) 263-7279Mailing LocationMailing Address5965 S 900 E, Salt Lake City, UT 84121-1720Phone(801) 263-7225Fax(801) 263-7279Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense69945183501Utah