MS. JO ELLEN OTTENBERG LCSW
NPI 1649318312
Social Worker in Santa Rosa, CA

Q: What is the provider's specialty?

The provider's specialty is Social Worker with taxonomy code 104100000X.

Active since February 02, 2007PECOS Enrolled

401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(707) 571-3750 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Ms. Jo Ellen Ottenberg Lcsw NPPES

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

MS. JO ELLEN OTTENBERG LCSW (NPI 1649318312) is an individual social worker in Santa Rosa, California, licensed in California (LCS14474) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649318312

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. JO ELLEN OTTENBERGCredential: LCSW

Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149

Mailing Address401 Bicentennial WaySanta Rosa, CA 95403-2149 · (707) 571-3750

Phone(707) 571-3750

Sole ProprietorNo

Enumeration DateFebruary 2, 2007

Last NPPES UpdateJanuary 11, 2022

✔ NPI 1649318312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · LCS14474

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

401 BICENTENNIAL WAY, Santa Rosa, CA 95403

Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Jo Ellen Ullery

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jo Ellen Ottenberg Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.