Individual provider · Type 1 NPI

Shannon Joel Otto, LMSW

Clinical Social Worker · Raton, NM

NPI number 1114049673 Active

Practice location

220 4th Ave
Raton, NM 87740-2643

Fax (575) 445-2225

Mailing address

330 S 7th St
Raton, NM 87740-4049

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200X313365 (NM)
Clinical Social Worker Primary 1041C0700XM-05899 (NM)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114049673

Shannon Joel Otto, LMSW's National Provider Identifier is 1114049673, issued on Apr 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raton, NM. The record was last updated on Nov 12, 2008.