Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARISSA ANN OTTEN LGSW
NPI 1730098161
Social Worker - Clinical in Raleigh, NC

Active since September 02, 2026
1030 N ROGERS LN STE 121, RALEIGH, NC 27610(910) 216-9530 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Marissa Ann Otten Lgsw NPPES

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

MARISSA ANN OTTEN LGSW (NPI 1730098161) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (P024523) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1730098161
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARISSA ANN OTTENCredential: LGSW
Location Address1030 N ROGERS LN STE 121Raleigh, NC 27610-6083
Mailing Address8726 Church CirClear Lake, MN 55319-4520
Sole ProprietorYes
Enumeration DateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
NPI 1730098161 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 NC · P024523 Licensed in MN · 36136
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.
1030 N ROGERS LN STE 121, Raleigh, NC 27610

Other Names 1

Former Name (1)Marissa Ann Gillham

Other Providers at the Same Location NPPES 11

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

Family Medicine
1030 N ROGERS LN STE 121
RALEIGH, NC 27610
Student in an Organized Health Care Education/Training Program
1030 N ROGERS LN STE 121
RALEIGH, NC 27610
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1030 N ROGERS LN STE 121
RALEIGH, NC 27610
Student in an Organized Health Care Education/Training Program
1030 N ROGERS LN STE 121
RALEIGH, NC 27610
Social Worker (Clinical)
1030 N ROGERS LN STE 121
RALEIGH, NC 27610
Student in an Organized Health Care Education/Training Program
1030 N ROGERS LN STE 121
RALEIGH, NC 27610
Exclusive Provider Organization
1030 N ROGERS LN STE 121
RALEIGH, NC 27610
Psychiatry & Neurology (Psychiatry)
1030 N ROGERS LN STE 121
RALEIGH, NC 27610

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 Marissa Otten's NPI number?

The NPI number for Marissa Otten is 1730098161. It was assigned to this individual provider in the NPPES registry on September 2, 2026. The provider is also known as Marissa Ann Gillham.

Where is Marissa Otten located?

Marissa Otten practices at 1030 N Rogers Ln Ste 121, Raleigh, NC 27610. The listed phone number is (910) 216-9530.

What is Marissa Otten's specialty?

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

When was this NPI record last updated?

The NPPES record for Marissa Otten was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.