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General NPI Number Information
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NPI Number | 1811530363
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Entity Type | Individual
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Provider Name | KATHERINE R OTT LCSW, CADC
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Gender | Female
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Dates
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Enumeration Date | 10/28/2019
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Last Update Date | 01/04/2026
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Provider Practice Location Address
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Address Line | 129 COMMERCIAL DR UNIT 5B
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City | YORKVILLE
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State | IL
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Zip | 60560-4731
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Country | US
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Telephone | 630-465-7326
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Fax |
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Provider Business Mailing Address
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Address Line | 129 COMMERCIAL DR UNIT 5B
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City | YORKVILLE
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State | IL
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Zip | 60560-4731
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Country | US
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Telephone | 630-465-7326
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.023148
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License Number State | IL
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