Noah Lee Otten, LCSW, QMHP | |
2412 S Cliff Ave Ste 200, Sioux Falls, SD 57105-4031 | |
(605) 595-3599 | |
Not Available |
Full Name | Noah Lee Otten |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2412 S Cliff Ave Ste 200, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598485468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CP002475 (South Dakota) | Primary |
Entity Name | Avera Mckennan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Mailing Address | Practice Location Address |
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Noah Lee Otten, LCSW, QMHP 2412 S Cliff Ave Ste 200, Sioux Falls, SD 57105-4031 Ph: () - | Noah Lee Otten, LCSW, QMHP 2412 S Cliff Ave Ste 200, Sioux Falls, SD 57105-4031 Ph: (605) 595-3599 |
Malia Holbeck, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2412 S Cliff Ave, Ste 200, Sioux Falls, SD 57105 Phone: 605-322-4079 | |
Lacey Ballew, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 E 23rd St, Sioux Falls, SD 57105 Phone: 056-322-7549 | |
Jill Walerius, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4105 S Carnegie Pl Ste 103, Sioux Falls, SD 57106 Phone: 605-212-3638 | |
Mrs. Robyn Shores Foster, CSW PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2109 S Norton Ave, Sioux Falls, SD 57105 Phone: 605-334-2696 Fax: 605-339-9944 | |
Alicia Mefferd, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 705 E 41st St Ste 100, Sioux Falls, SD 57105 Phone: 605-444-7500 | |
Mrs. Amber J Corey, LCSW-PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 W 49th St Ste 103, Sioux Falls, SD 57105 Phone: 605-271-4813 Fax: 605-271-4815 | |
Alexzander John Capell, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 N Sycamore Ave, Sioux Falls, SD 57110 Phone: 605-965-3109 |