Jennifer M Otis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

142023 Issued in CA

Practice address

1144 Temple Dr
Pacheco, CA 94553-5112

Phone

(925) 324-1488

NPI assigned

Dec 16, 2021

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)

Not enrolled

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1437818531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 TEMPLE DR",
            "city": "PACHECO",
            "state": "CA",
            "postal_code": "945535112",
            "telephone_number": "925-324-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 TEMPLE DR",
            "city": "PACHECO",
            "state": "CA",
            "postal_code": "945535112",
            "telephone_number": "925-324-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTIS",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "142023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Edward Burgstaller, DMD.
• Acianita Rae Lucero
• Samantha McCarl
• Jose Nicasio
• Laura Piotrowski, AMFT
• Mustafa Rahimi
• Andressa Natasha Santos
• Justin Jarrell Sorg, RADT
• Stand for Families Free of Violence

• Clinical Social Worker in Pacheco, CA
• Providers in Pacheco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.