Katherine Deanne Ottofy, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2009001269 Issued in MO

Practice address

302 Campusview Dr Ste 201
Columbia, MO 65201-7506

Phone

(573) 328-2288

NPI assigned

Jul 28, 2011

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

Other identifiers 1

Other names 1

• Katherine Deanne Hetzel Former name

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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1437437290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CAMPUSVIEW DR STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017506",
            "telephone_number": "573-328-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CAMPUSVIEW DR STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017506",
            "telephone_number": "573-328-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTOFY",
        "first_name": "KATHERINE",
        "middle_name": "DEANNE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2009001269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496516907",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HETZEL",
            "middle_name": "DEANNE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth Lee Ostercamp, LPC
• Karl Osterman, MS, ATC, LAT
• Francis J. Otradovec, DDS
• Otter Home and Health, LLC
• Kayla Deanne Otteson, R.D.
• Balint Istvan Otvos, MD, PHD
• Edouard Oudin III
• Kayla Stinnett Oudin, M.S., CCC-SLP
• Rachel Anne Oursbourn, MD
• Cannon Tyler Ousley

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.