Active NPI
Adrienne Otkins, LCSW
- Clinical Social Worker
- Oak Park, IL
National Provider Identifier
1811197833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.012520
- Practice address
- 6601 North Ave
Oak Park, IL 60302-1084 - Phone
- (773) 510-6551
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.012520 | IL | Primary |
Addresses
Primary practice location
6601 North Ave
Oak Park, IL 60302-1084
Mailing address
328 N Waller Ave
Chicago, IL 60644-2248
Phone (773) 261-6551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811197833 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200702001553 | IL | Practitioner - Clinical Social Worker | 8820411291 | Practice locations: Oak Park, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6601 N Ave
Suite 5
Oak Park, IL 60302-1084
Phone (773) 510-6551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.012520 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otkins & Associates, LLC | Clinical | Current | Accepting new patients |
Locations
1010 Lake St
Ste 426
Oak Park, IL 60301
Phone (708) 214-8768
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677888000000",
"number": "1811197833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 N WALLER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606442248",
"telephone_number": "773-261-6551",
"fax_number": "773-261-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 NORTH AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021084",
"telephone_number": "773-510-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTKINS",
"first_name": "ADRIENNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2023-03-04",
"certification_date": "2023-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.012520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811197833",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.