Taylor M. Otto

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851117795 Issued in MI

Practice address

3424 Chicago Dr Ste 205
Hudsonville, MI 49426-1411

Phone

(616) 426-9034

NPI assigned

Mar 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Second Story Counseling II LLC

  • Counselor
  • Hudsonville, MI
  • NPI 1013460716
  NPD

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1255191003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 24TH ST",
            "city": "DORR",
            "state": "MI",
            "postal_code": "493239583",
            "telephone_number": "616-916-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 CHICAGO DR STE 205",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261411",
            "telephone_number": "616-426-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "TAYLOR",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851117795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuevo Leon Developments PLLC
• Wade O'Mara, DPT
• Mariceli Oneill, PSYD
• Daniel Lee Osborn, DC
• Ottawa County CMH
• Ada Pariser, MD
• Makayla Parm
• Partners in Family Health PLC
• Jennifer Rose Patterson, COTA-L
• Leah Ballantyne Peirce, MD

• Clinical Social Worker in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.