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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW OTTENWELLER

Active Sole Proprietor

MATTHEW OTTENWELLER is a Clinical Social Worker healthcare provider located in TUCKER, Georgia. NPI 1255875282 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · TUCKER, GA

Registration Details

NPI Number
1255875282
Provider Type
Individual
Gender
Male
NPI Issued
Dec 9, 2016 (9.6653300693623 yrs)
Last Updated
Mar 29, 2024
Licenses
MSW006423 (GA)
CSW006135 (GA)
Sole Proprietor
Yes

Practice Information

Address
4500 HUGH HOWELL RD STE 410
TUCKER, GA, 300844732
Browse GA providers · Browse ZIP 30084
Phone
4045942940
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in TUCKER, GA

Name Credential NPI
MR. DANIEL SCOTT BRAUN LCSW 1184660425
PEGGY A STUDSTILL-HORANSKY LCSW 1265443139
LORI C. LEVEY LCSW 1023020781
CHRISTINE RAE JOLLEY LCSW 1538258546
WARREN MITCHELL LCSW 1134292667
NANCY FOSTER PENN LCSW 1053479113
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.