Lisa Otto, | |
1607 Capitol Ave Fl The2, Cheyenne, WY 82001 | |
(307) 630-4729 | |
(307) 632-3298 |
Full Name | Lisa Otto |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 1607 Capitol Ave Fl The2, Cheyenne, Wyoming |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851707574 | NPI | - | NPPES |
PCSW-583 | Other | WY | MENTAL HEALTH PROFESSIONS LICENSING BOARD |
LCSW-983 | Other | WY | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | PCSW-583 (Wyoming) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-983 (Wyoming) | Secondary |
101YM0800X | Counselor - Mental Health | 983 (Wyoming) | Primary |
Entity Name | Liv In-home Counseling & Care Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740604057 PECOS PAC ID: 5698992352 Enrollment ID: O20140804002438 |
Entity Name | Lisa Otto Lcsw Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356923627 PECOS PAC ID: 6709285661 Enrollment ID: O20210525002954 |
Mailing Address | Practice Location Address |
---|---|
Lisa Otto, Po Box 982, Laramie, WY 82073-0982 Ph: (307) 630-4729 | Lisa Otto, 1607 Capitol Ave Fl The2, Cheyenne, WY 82001 Ph: (307) 630-4729 |
Maelee Ann Havens, LPC-1917 Counselor Medicare: Medicare Enrolled Practice Location: 2600 E 18th St, Cheyenne, WY 82001 Phone: 307-633-7370 | |
Alexander James Barrera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6900 Alden Dr Bldg 160, Cheyenne, WY 82005 Phone: 307-773-2998 | |
Ms. Aurelia Neuda, MS LPC LAT Counselor Medicare: Medicare Enrolled Practice Location: 2526 Seymour Ave, Cheyenne, WY 82001 Phone: 307-634-9653 Fax: 307-638-8256 | |
Shaundra K Drysdale, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4025 Rawlins St, Cheyenne, WY 82001 Phone: 307-426-4797 | |
Linnaea Despain Sutphin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 E 17th St Ste 210, Cheyenne, WY 82001 Phone: 307-996-7964 | |
Dr. David Harold Birney, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 W 29th St, Cheyenne, WY 82001 Phone: 307-426-4724 | |
Becky Marie Lauridsen, PPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4025 Rawlins St, Cheyenne, WY 82001 Phone: 307-426-4798 Fax: 307-426-4799 |