| Lisa M. Ott, Lcsw-c, Llc | |
|
8640 Guilford Rd Ste 252 Columbia MD 21046-2666 | |
| (410) 440-5828 | |
| (410) 312-7298 |
| Full Name | Lisa M. Ott, Lcsw-c, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8640 Guilford Rd Ste 252, Columbia, Maryland |
| Authorized Official Name and Position | Lisa M Ott (OWNER) |
| Authorized Official Contact | 4104405828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M. Ott, Lcsw-c, Llc 9643 Green Moon Path Columbia MD 21046-2069 Ph: (410) 440-5828 | Lisa M. Ott, Lcsw-c, Llc 8640 Guilford Rd Ste 252 Columbia MD 21046-2666 Ph: (410) 440-5828 |
| NPI Number | 1396217741 |
|---|---|
| Provider Enumeration Date | 12/26/2018 |
| Last Update Date | 12/26/2018 |
| Medicare PECOS PAC ID | 0749678183 |
|---|---|
| Medicare Enrollment ID | O20211103003050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396217741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lisa M Ott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336509033 PECOS PAC ID: 3577892702 Enrollment ID: I20211129001014 |
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