Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHANNON JOEL OTTO, LMSW
Active Sole ProprietorMS. SHANNON JOEL OTTO, LMSW is a Clinical Social Worker healthcare provider located in RATON, New Mexico. NPI 1114049673 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · RATON, NM
Registration Details
- NPI Number
- 1114049673
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 4, 2007 (19.320243497399 yrs)
- Last Updated
- Nov 12, 2008
- Licenses
-
313365 (NM)M-05899 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
220 4TH AVERATON, NM, 877402643Browse NM providers · Browse ZIP 87740
- Phone
- 5754452754
- Fax
- 5754452225
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in RATON, NM
| Name | Credential | NPI |
|---|---|---|
| MRS. PETRA JEAN ARMIJO-BERTOLA | LISW | 1225091184 |
| MRS. TENELLE MARIE PHILLIPS | LISW | 1497962294 |
| MS. MICHALEEN DELAPP | LCSW | 1649405325 |
| MR. FERMAN ULIBARRI | LMSW, LSAA | 1518199678 |
| MR. RONALD L. HARRIS | LMSW | 1477786531 |
| MS. MONA LISA SANDOVAL | AA | 1720211857 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.