Kaira M Otero, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105746 Issued in NY

Practice address

148 Wilson Ave
Brooklyn, NY 11237-8042

Phone

(347) 474-8464

Fax

(212) 691-5635

NPI assigned

Aug 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mayari Healing & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ridgewood, NY
  • NPI 1174483507
  NPD Authorized official

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1528548807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 WILSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112378042",
            "telephone_number": "347-474-8464",
            "fax_number": "212-691-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WILSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112378042",
            "telephone_number": "347-474-8464",
            "fax_number": "212-691-5635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Debevoise Street",
            "address_2": "5th Floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11206",
            "country_code": "US",
            "telephone_number": "718-963-4430 x4479",
            "fax_number": "718-963-0814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO",
        "first_name": "KAIRA",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P12170",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otc Group LLC
• Alejandro Javier Otero
• Deanna Otero
• Isalet Otero
• Jeannie Otero
• Samantha Otero, MSW
• Yolanda Otero, SLP
• Mael Othelot, CNM
• Othera Occupational Therapy PC
• Ali Mohamed Ali Ahmed Othman, M.D.

• Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.