Nicole Otto, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50078411 Issued in DC

Practice address

2041 Martin Luther King Jr Ave SE
239
Washington, DC 20020-7024

Phone

(202) 610-0066

NPI assigned

Jul 27, 2009

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)

Enrolled

State licenses

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1376774281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CONNECTICUT AVE NW",
            "address_2": "300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081158",
            "telephone_number": "202-624-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE",
            "address_2": "239",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207024",
            "telephone_number": "202-610-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ottenritter, LICSW
• Eric Albert Ottesen, M.D.
• Christine Ottley
• David William Otto, MME, MT-BC
• Jordan Otto, MA, ED.S
• Katherine Marie Ottolini, M.D.
• Tajudeen Olatokunbo Ottun, PHARM.D.
• Kimberly Kaye Ottwell, M.D.
• Oritsetsemaye Otubu, M.D.,MPH
• Owokunile Otubusin, M.D.

• All providers in Washington, DC
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.