Jennifer Lynn Oetman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00007230 Issued in WA

Practice address

77 Wainwright Dr
Walla Walla, WA 99362-3975

Phone

(509) 525-5200

NPI assigned

Jun 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1346800877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E CHERRY ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621205",
            "telephone_number": "509-200-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WAINWRIGHT DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623975",
            "telephone_number": "509-525-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETMAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00007230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWVAMC",
            "affiliation": "N",
            "address_1": "77 Wainwright Dr",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993623975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWVAMC",
            "affiliation": "N",
            "endpointDescription": "ROI Office",
            "address_1": "77 Wainwright Dr",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993623975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Northwest Counseling Solutions
• Timothy Isamu O'Connor, M.D.
• Lisa L O'Dell
• Thomas John O'Donnell, PT, DPT, OCS
• Stacy Samantha Ochoa-Sofoifa, ARNP, DNP-FNP-C
• Taylor Offerdahl-Church
• Lynda Oluebube Ogbuji
• Euna Oh
• Delila C Ojeda, ARNP
• Leilani Kylie Okalani, LMP

• Clinical Social Worker in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.