LISA OTTO (NPI# 1851707574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851707574 |
| Entity Type | Individual |
| Full Name | LISA OTTO |
| Practice Address |
1607 Capitol Ave Fl The2 Cheyenne WY 82001 |
| Mailing Address |
Po Box 20092 Cheyenne WY 82003-7002 |
| Practice Telephone | 3076304729 |
| Practice Fax Number | 3076323298 |
| Mailing Telephone | 3076304729 |
| Mailing Fax Number | 3076323298 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | PCSW-583 | WY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-983 | WY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | STATE LICENSE | LCSW-983 | 01 |
| WY | MENTAL HEALTH PROFESSIONS LICENSING BOARD | PCSW-583 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992237093 | Lisa Otto | Case Manager/Care Coordinator | 23 Marler Ln, Gassville, AR 72635-8127 | 2017-03-29 |
| 1417357781 | Lisa Otto | Speech-Language Pathologist | 185 S Marley Rd, New Lenox, IL 60451-3302 | 2014-08-24 |
| 1295150860 | Lisa Otto | Counselor | 4350 Schwinn Dr, Dayton, OH 45404-1341 | 2014-02-19 |
| 1831465970 | Lisa Lynn Otto | Physical Therapy Assistant | 842 N Mockingbird Lane, Kinder Hearts Home Health, Abilene, TX 79603-3820 | 2012-03-22 |
| 1346367307 | Lisa Weitschat Otto | Occupational Therapist | 17045 El Camino Real, Suite 106, Houston, TX 77058-2649 | 2007-03-23 |
| 1336274190 | Lisa Michelle Otto | Social Worker | 7 Vauxhall St, New London, CT 06320-5711 | 2007-02-22 |
| Street Address |
1607 CAPITOL AVE FL THE2 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205191541 | Eliza J Krall | Counselor | 1607 Capitol Ave Fl The2, Cheyenne, WY 82001-4525 | 2012-07-12 |
| 1780151449 | Gabrielle Jorns | Case Manager/Care Coordinator | 1607 Capitol Ave Fl The2, Cheyenne, WY 82001-4525 | 2018-10-30 |
| 1972079408 | Ashley Jones | Case Manager/Care Coordinator | 1607 Capitol Ave Fl The2, Cheyenne, WY 82001-4525 | 2018-10-23 |
| 1447792593 | Tessa Matzen | Counselor | 1607 Capitol Ave Fl The2, Cheyenne, WY 82001-4525 | 2016-11-07 |
| 1770996357 | Jennifer Lindstrom | Social Worker | 1607 Capitol Ave Fl The2, Cheyenne, WY 82001 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410547 | Kirbie L Brown | Social Worker | 6610 Wilderness Trl, Cheyenne, WY 82001-6180 | 2019-11-04 |
| 1588138648 | Cheyenne Counseling, LLC | Social Worker | 2315 Dunn Ave Ste 6, Cheyenne, WY 82001-3214 | 2019-01-11 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1174015473 | Julia L Torres | Social Worker | 1603 Capitol Ave Ste 508, Cheyenne, WY 82001-4563 | 2018-06-01 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| 1588107379 | Laura Powell-rousey | Social Worker | 821 E Pershing Blvd, Cheyenne, WY 82001 | 2016-11-28 |
| 1487109989 | Regina Dodson | Social Worker | 611 Broken Wheel Ct, Cheyenne, WY 82007-1673 | 2016-08-25 |
| 1609226331 | David Hand | Social Worker | 3032 Forest Dr, Cheyenne, WY 82001-5518 | 2016-06-14 |
| 1982051579 | Forrest Lien | Social Worker | 2232 Dell Range Blvd Ste 324, Cheyenne, WY 82009-4941 | 2016-05-24 |
| Find all providers in CHEYENNE | ||||
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| 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.