KIMBERLYN J OTTO


Address: 300 Union St, Evansville, WI 53536-1175
Phone: 6088825613

KIMBERLYN J OTTO (NPI# 1053465989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053465989
Entity Type Individual
Full Name KIMBERLYN J OTTO
Other Name KIMBERLYN J LEGGETT-OTTO
Credential LCSW
Practice Address 300 Union St
Evansville
WI 53536-1175
Practice Telephone 6088825613
Mailing Telephone 6088825613
Enumeration Date 2007-01-22
Last Update Date 2011-01-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
3013 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39692500 05

Office Location

Street Address 300 UNION ST
City EVANSVILLE
State WI
Zip Code 53536-1175

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376676189 Mercy Health System Corporation Durable Medical Equipment & Medical Supplies 300 Union St, Evansville, WI 53536-1175 2007-03-13
1003953704 Samuel C White Family Medicine 300 Union St, Evansville, WI 53536-1175 2007-01-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851817787 Tammy Ann Reed Physical Therapy Assistant 470 Garfield Avenue, Evansville, WI 53536 2017-08-22
1396291522 Quadmed LLC Clinic/Center 101 County Highway M, Evansville, WI 53536 2016-08-28
1821221649 Jeff Richards Chiropractor 825 Brown School Road, Evansville, WI 53536 2009-08-27
1336278522 Emily Peterson Physical Therapist 811 Brown School Road, Evansville, WI 53536 2007-03-05
1609863794 Evansville Manor, Inc. Skilled Nursing Facility 470 Garfield Ave, Evansville, WI 53536-1014 2005-10-04
1356852958 Evm Operations LLC Skilled Nursing Facility 470 Garfield Ave, Evansville, WI 53536-1014 2017-10-23
1487172193 Samantha Rae Arnold Occupational Therapist 470 Garfield Ave, Evansville, WI 53536-1014 2017-09-01
1730605247 Karmen Lee Maag Occupational Therapy Assistant 470 Garfield Ave, Evansville, WI 53536-1014 2017-08-16
1700218724 Kim Ellen Kline Physical Therapy Assistant 470 Garfield Ave, Evansville, WI 53536-1014 2013-08-01
1497029995 Kathryn Ann Dauwalter Occupational Therapist 470 Garfield Ave, Evansville, WI 53536-1014 2012-02-29
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942810486 Adams Counseling Services LLC Social Worker 6221 Physicians Ct # 2, Evansville, IN 47715-4031 2020-08-07
1306328414 Tracy Lynn Hollander Social Worker 529 Herndon Dr, Evansville, IN 47711-3703 2018-09-05
1992295489 Leeanne Aline Mobley Social Worker 414 Se 4th St Ste 101, Evansville, IN 47713-1219 2018-05-10
1023517992 Michelle Craig Social Worker 4415 Posey County Line Rd S, Evansville, IN 47712-9035 2018-02-06
1770096190 Tiphani Fillingim Social Worker 1010 S Weinbach Ave, Evansville, IN 47714-2934 2017-11-07
1174075584 Aha Now Counseling, LLC Social Worker 7144 E Virginia St Ste C, Evansville, IN 47715-9125 2016-11-02
1720536055 Andrea M Lantz Social Worker 20000 Barton Rd, Evansville, IN 47725-7845 2016-09-15
1750739421 Jordan Wayne Milby Social Worker 734 W Delaware St Ste 217, Evansville, IN 47710-1667 2016-06-02
1487021226 Barbara Avis Social Worker 5015 N 1st Ave, Evansville, IN 47710-3913 2015-08-27
1437557626 Syrrus Powell Social Worker 445 N Cross Pointe Blvd Ste 320, Evansville, IN 47715-4013 2014-12-20
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Competitor

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City EVANSVILLE
Zip Code 53536

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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