Individual provider · Type 1 NPI
Jessica Otis, LCSW
Clinical Social Worker · Riverton, UT
Practice location
12971 S Shawnee Dr
Riverton, UT 84096-7805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-925 (WY) |
| Clinical Social Worker | 1041C0700X | 113051 (AK) |
| Clinical Social Worker | 1041C0700X | LCSW-36030 (ID) |
| Clinical Social Worker Primary | 1041C0700X | 8696808-3501 (UT) |
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 1396163002
Jessica Otis, LCSW's National Provider Identifier is 1396163002, issued on Mar 31, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverton, UT. The record was last updated on Feb 23, 2022.