Individual provider · Type 1 NPI

Elizabeth Nicole Otong, LCSW

Clinical Social Worker · Fairfield, CA

NPI number 1477617637 Active

Practice location

101 Bodin Cir
Fairfield, CA 94535-1809

Fax (707) 423-7382

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28844 (CA)

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 1477617637

Elizabeth Nicole Otong, LCSW's National Provider Identifier is 1477617637, issued on Dec 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfield, CA. The record was last updated on Oct 23, 2026.