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

Q: What is Jo Ellen Ottenberg's NPI number?

The NPI number for Jo Ellen Ottenberg is 1649318312. It was assigned to this individual provider in the NPPES registry on February 2, 2007. The provider is also known as Mrs. Jo Ellen Ullery.

Q: What is Jo Ellen Ottenberg's specialty?

The primary specialty registered for this NPI 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.

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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

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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.

Other Providers at the Same Location NPPES 20

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

VIRGINIA E HOFMANN MD

Psychiatry & Neurology (Psychiatry)

401 BICENTENNIAL WAY, DEPARTMENT OF PSYCHIATRY
SANTA ROSA, CA 95403

Sonoma County (707) 571-3778

JAMES F STONE JR. MD

Family Medicine

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-4344

DR. EDWARD A. ROSE M.D.

Family Medicine

401 BICENTENNIAL WAY, SUITE 130
SANTA ROSA, CA 95403

Sonoma County (707) 393-4152

KAREN E. ROSE M.D.

Family Medicine

401 BICENTENNIAL WAY, SUITE 130
SANTA ROSA, CA 95403

Sonoma County (707) 393-4005

LINDA LORZ CRNA

Registered Nurse

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-4000

MS. SARAH JOSEPHINE HARVEY NP, CDE

Nurse Practitioner (Family)

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-3916

MS. PAULA MARIE KELLEHER R.N., N.P., M.S.N.

Nurse Practitioner (Women's Health)

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-4203

ANITA LEVINE-GOLDBERG NPMSN

Nurse Practitioner (Obstetrics & Gynecology)

401 BICENTENNIAL WAY, SUITE 210
SANTA ROSA, CA 95403

Sonoma County (707) 571-4136

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 Jo Ellen Ottenberg's NPI number?

The NPI number for Jo Ellen Ottenberg is 1649318312. It was assigned to this individual provider in the NPPES registry on February 2, 2007. The provider is also known as Mrs. Jo Ellen Ullery.

Where is Jo Ellen Ottenberg located?

Jo Ellen Ottenberg practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 571-3750.

What is Jo Ellen Ottenberg's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jo Ellen Ottenberg enrolled in Medicare?

Yes. Jo Ellen Ottenberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jo Ellen Ottenberg was last updated on January 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.