Individual provider · Type 1 NPI

Marissa Ann Otten, LGSW

Clinical Social Worker · Raleigh, NC

NPI number 1730098161 Active

Practice location

1030 N Rogers Ln Ste 121
Raleigh, NC 27610-6083

Call (910) 216-9530 Map

Mailing address

8726 Church Cir
Clear Lake, MN 55319-4520

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X36136 (MN)
Clinical Social Worker Primary 1041C0700XP024523 (NC)

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 1730098161

Marissa Ann Otten, LGSW's National Provider Identifier is 1730098161, issued on Sep 2, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Sep 2, 2026.