Otterson Mental Health Services Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18201 Issued in MN

Legal business name

OTTERSON MENTAL HEALTH SERVICES INC

Practice address

324 West Superior Street
Suite 505
Duluth, MN 55802

Phone

(218) 740-3061

Fax

(218) 740-3044

NPI assigned

Feb 18, 2013

Organization subpart

No

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

Authorized official

Name

Troy David Otterson, MSW, LICSW

Title

Owner/President

Phone

(218) 740-3061

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurel June Benoit

  • Clinical Psychologist
  • Duluth, MN
  • NPI 1053823104
  NPD (past)

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1659611341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 WEST SUPERIOR STREET",
            "address_2": "SUITE 505",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55802",
            "telephone_number": "218-740-3061",
            "fax_number": "218-740-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WEST SUPERIOR STREET",
            "address_2": "SUITE 505",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55802",
            "telephone_number": "218-740-3061",
            "fax_number": "218-740-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTERSON MENTAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "OTTERSON",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "218-740-3061",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim J Osthus, HIS
• Valarie Beth Ostrander, CCC/SLP
• Holly Leann Ostrowski, RN
• Alexis Oswald, LGSW
• Noraini Othman, RN
• Troy David Otterson, MSW, LICSW
• Miranda Lynn Otto, OTR
• Annette Louise Ouellette
• Gerald Thomas Ouellette
• Outlook Therapy LLC

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.