Active NPI
Pamela Sue Otis, LCSW
- Clinical Social Worker
- Blue Springs, MO
National Provider Identifier
1881983328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2011003304
- Practice address
- 320 NW Woods Chapel Rd
Ste. C
Blue Springs, MO 64015-3282 - Phone
- (816) 228-4373
- NPI assigned
- Apr 5, 2011
- 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 | 2011003304 | MO | Primary |
Addresses
Primary practice location
320 NW Woods Chapel Rd
Ste. C
Blue Springs, MO 64015-3282
Mailing address
320 NW Woods Chapel Rd
Ste. C
Blue Springs, MO 64015-3282
Phone (816) 228-4373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1881983328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 NW WOODS CHAPEL RD",
"address_2": "STE. C",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153282",
"telephone_number": "816-228-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 NW WOODS CHAPEL RD",
"address_2": "STE. C",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153282",
"telephone_number": "816-228-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTIS",
"first_name": "PAMELA",
"middle_name": "SUE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2011003304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.