Faith Otobo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092635 Issued in NY

Practice address

600 Broadway Ste 200
Albany, NY 12207-2236

Phone

(646) 867-9078

NPI assigned

Oct 17, 2014

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

Locations

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.

• Alerocares LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bedford Corners, NY
  • NPI 1861198954
  NPD Authorized official

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1881098986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BROADWAY,",
            "address_2": "STE 200 #6356",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122074761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY STE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072236",
            "telephone_number": "646-867-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOBO",
        "first_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "101314",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Rosalie Ostheimer, LCSW
• Barbara E Ostrov, MD
• Tyler J Ostrowski, MD
• Daniel John Osullivan
• Scott Osur, MD
• Efua Otoo, CRNA
• Hannah Otten, DO
• Melanie Jean Otten, RPH
• Sydney Ottman, OTR/L
• Yema Otto-During, LMSW

• Clinical Social Worker in Albany, NY
• Providers in Albany, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.