Courtney Michelle Ott, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1500987 Issued in OH

Practice address

111 Glenshire LN
Medina, OH 44256-8165

Phone

(330) 635-8637

NPI assigned

Apr 25, 2019

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

Enrolled in OH

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Rising Therapy LLCGroup PAC ID 8729584305, 24 clinicians

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 and National Provider Directory roles.

• Silver Rising Therapy LLC

  • Clinical Social Worker
  • Burr Ridge, IL
  • NPI 1659254068

  OH

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1992369813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GLENSHIRE LN",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568165",
            "telephone_number": "330-635-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GLENSHIRE LN",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568165",
            "telephone_number": "330-635-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1500987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthotic & Prosthetic Services Inc
• Orthotic & Prosthetic Services Inc
• Francisco Ortiz, P.A.
• Kelly A Osborne, MSN, ACNS-BC
• Rachel Joy Osterland, LMT
• Kelly A Oxford, LMT
• Angelo J. Pagani, PA-C
• Veronica Marie Painter, CNP
• Pajevic Chiropractic and Natural Health LLC
• Brian Pajevic, DC

• Clinical Social Worker in Medina, OH
• Providers in Medina, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.