Christa Marie Otero, RCSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW20256 Issued in FL

Practice address

5655 Timuquana Rd Ste 6
Jacksonville, FL 32210-8914

Phone

(904) 710-2047

NPI assigned

Mar 10, 2025

Last updated

Mar 10, 2025By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Pathways Social Work & Wellness PLLC

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1255269486
  NPD Authorized official

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1881493146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6084 SAGE WILLOW WAY",
            "city": "JACKSONVIILLE",
            "state": "FL",
            "postal_code": "32244",
            "telephone_number": "203-613-4316",
            "fax_number": "203-613-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 TIMUQUANA RD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108914",
            "telephone_number": "904-710-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "CHRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW20256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Oswald, PA-C
• Craig J Oswald, DC
• Haley Oswald, PA-C
• Otaku Collect LLC (Jax Nemt)
• Lilian Astrid Otalora Rojas, MD
• Carlos Acosta Oteyza, M.D.
• Eman Othman, BDS, MS, CAGS
• Justin A Otis, DNP, APRN-CRNA
• Anna Marie Otoole
• Gabrielle Otremba

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.

Verify at the official NPI Registry.