Individual provider Active NPI

Lisa M Ott, M.S.W.

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1336509033
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05789 Issued in MD
Practice address
9643 Green Moon Path
Columbia, MD 21046-2069
Phone
(410) 440-5828
NPI assigned
Feb 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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 05789 MD Primary

Addresses

Primary practice location

9643 Green Moon Path
Columbia, MD 21046-2069

Mailing address

9643 Green Moon Path
Columbia, MD 21046-2069
Phone (410) 440-5828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129001014 MD Practitioner - Clinical Social Worker 3577892702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8640 Guilford Rd
Suite 254
Columbia, MD 21046-2655
Phone (410) 440-5828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05789MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa M. Ott, LCSW-C, LLC CurrentSince Sep 4, 2021 Accepting new patients
Better Self Counseling LLC PastSince Sep 4, 2021 Accepting new patients

Locations

8640 Guilford Rd
Ste 254
Columbia, MD 21046
Phone (410) 440-5828

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1336509033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9643 GREEN MOON PATH",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462069",
            "telephone_number": "410-440-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9643 GREEN MOON PATH",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462069",
            "telephone_number": "410-440-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.