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JESSICA OTIS LCSW
NPI 1396163002
Social Worker - Clinical in Riverton, UT

Active since March 31, 2014Opted out of Medicare · through Apr 1, 2028
12971 S SHAWNEE DR, RIVERTON, UT 84096(801) 910-5587 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2022, May 21, 2021, Dec 31, 2020 (3 updates tracked since 2020).

About Jessica Otis Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA OTIS LCSW (NPI 1396163002) is an individual clinical provider in Riverton, Utah, licensed in Utah (8696808-3501) and active in the NPI registry since March 2014. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1396163002
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA OTISCredential: LCSW
Location Address12971 S SHAWNEE DRRiverton, UT 84096-7805
Mailing Address12971 S Shawnee DrRiverton, UT 84096-7805 · (801) 910-5587 · Fax (801) 206-3618
Phone(801) 910-5587
Sole ProprietorNo
Enumeration DateMarch 31, 2014
Last NPPES UpdateFebruary 23, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
✔ NPI 1396163002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in UT · 8696808-3501✔ Licensed in WY · LCSW-925✔ Licensed in AK · 113051✔ Licensed in ID · LCSW-36030
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12971 S SHAWNEE DR, Riverton, UT 84096
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Otis Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABC CASE MANAGEMENT, INC.
Case Management
12971 S SHAWNEE DR
RIVERTON, UT 84096
Salt Lake County (801) 910-5587

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Otis's NPI number?

The NPI number for Jessica Otis is 1396163002. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Jessica Otis located?

Jessica Otis practices at 12971 S Shawnee Dr, Riverton, UT 84096. The listed phone number is (801) 910-5587.

What is Jessica Otis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Otis enrolled in Medicare?

No. Jessica Otis has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessica Otis accept?

Health plans from Select Health and University of Utah Health Plans list Jessica Otis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Otis was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.