Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON WALLACE OTTENS, ACSW
ActiveSHANNON WALLACE OTTENS, ACSW is a Clinical Social Worker healthcare provider located in SEBASTOPOL, California. NPI 1740064229 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SEBASTOPOL, CA
Registration Details
- NPI Number
- 1740064229
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2023 (2.9552684964718 yrs)
- Last Updated
- Aug 24, 2023
- License
-
117344 (CA)
Practice Information
- Address
-
652 PETALUMA AVE STE HSEBASTOPOL, CA, 954724266Browse CA providers · Browse ZIP 95472
- Phone
- 7078233166
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SEBASTOPOL, CA
| Name | Credential | NPI |
|---|---|---|
| MARCIA KATZ | — | 1467470518 |
| MR. BRIAN PAUL JACOBS | LCSW | 1497779425 |
| MR. PAUL GUSTAV TAMMINEN | LCSW | 1982796371 |
| NANCY SALMAN | — | 1134251630 |
| MICHELLE ANNE MILLER | LCSW | 1750413001 |
| MR. BRIAN G STRICKER | LCSW | 1124152186 |
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.