KRISTYN THERESE OTSUKA LCSW - NPI 1891441135 - Social Worker in San Diego, CA

Q: What is Kristyn Otsuka's NPI number?

The NPI number for Kristyn Otsuka is 1891441135. It was assigned to this individual provider in the NPPES registry on February 24, 2022.

Q: What is Kristyn Otsuka's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristyn Otsuka was last updated on January 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kristyn Therese Otsuka Lcsw NPPES

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

KRISTYN THERESE OTSUKA LCSW (NPI 1891441135) is an individual clinical provider in San Diego, California, licensed in California (128173) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1891441135

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKRISTYN THERESE OTSUKACredential: LCSW

Location Address5472 EL CAJON BLVD STE 101San Diego, CA 92115-3651

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300

Phone(619) 269-0836

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 24, 2022

Last NPPES UpdateJanuary 21, 2025

NPPES CertifiedJanuary 21, 2025

✔ NPI 1891441135 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 CA · 128173✔ Licensed in NM · C-12111

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.

5472 EL CAJON BLVD STE 101, San Diego, CA 92115

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristyn Therese Otsuka Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002115888

PECOS Enrollment IDI20250128000902

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

NOEMI PAOLA SANTANA MFT

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