Organization Active NPI

Katrina C. Ott, LCSW, LLC

  • Clinical Social Worker
  • Fort Wayne, IN
National Provider Identifier
1306351408
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005695A Issued in IN
Legal business name
KATRINA C. OTT, LCSW, LLC
Practice address
10315 Dawsons Creek Blvd Ste E
Fort Wayne, IN 46825-1912
Phone
(260) 387-6340
NPI assigned
Dec 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Mrs. Katrina Christine Ott, LCSWNPI 1669601373
Title
Licensed Clinicial Social Worker
Phone
(260) 519-2806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 34005695A IN Primary

Addresses

Primary practice location

10315 Dawsons Creek Blvd Ste E
Fort Wayne, IN 46825-1912

Mailing address

402 N Washington St
Columbia City, IN 46725-1721
Phone (260) 519-2806

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1306351408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N WASHINGTON ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251721",
            "telephone_number": "260-519-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 DAWSONS CREEK BLVD STE E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251912",
            "telephone_number": "260-387-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATRINA C. OTT, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "LICENSED CLINICIAL SOCIAL WORKER",
        "authorized_official_telephone_number": "260-519-2806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005695A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.