Individual provider · Type 1 NPI

Matthew Ottenweller

Clinical Social Worker · Tucker, GA

NPI number 1255875282 Active

Practice location

4500 Hugh Howell Rd Ste 410
Tucker, GA 30084-4732

Mailing address

838 Barton Woods Rd NE
Atlanta, GA 30307-1306

Other practice locations

  • 838 Barton Woods Rd NE, Atlanta, GA 30307-1306 · (720) 365-7767

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XMSW006423 (GA)
Clinical Social Worker Primary 1041C0700XCSW006135 (GA)

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 1255875282

Matthew Ottenweller's National Provider Identifier is 1255875282, issued on Dec 9, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tucker, GA. The record was last updated on Mar 29, 2024.