Individual provider Active NPI

Cynthia K Otter, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1083854616
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55009 Issued in TX
Practice address
3880 Greenhouse Rd.
Ste #10
Houston, TX 77084-7181
Phone
(281) 636-6753
Fax
(832) 301-4175
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 55009 TX Primary

Addresses

Primary practice location

3880 Greenhouse Rd.
Ste #10
Houston, TX 77084-7181

Mailing address

3800 Greenhouse Rd
Ste # 10
Houston, TX 77084-7181
Phone (281) 636-6753

Other names 1

  • Ms. Cindy K Otter Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1083854616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GREENHOUSE RD",
            "address_2": "STE # 10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847181",
            "telephone_number": "281-636-6753",
            "fax_number": "832-301-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 GREENHOUSE RD.",
            "address_2": "STE #10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847181",
            "telephone_number": "281-636-6753",
            "fax_number": "832-301-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTER",
        "first_name": "CYNTHIA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "OTTER",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.