MEDICARE: BRITTANY OTT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW010175	GA

General Provider Information

NPI Number	:	1528641156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY OTT

Provider Business Mailing Address
First Line	:	4343 SHALLOWFORD RD # 741H4B
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-5023
Country	:	US
Telephone Number	:	678-740-3757
Fax Number	:

Provider Business Practice Location Address
First Line	:	4343 SHALLOWFORD RD # 741H4B
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-5023
Country	:	US
Telephone Number	:	678-740-3757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2021
Last Update Date	:	06/05/2026

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Directions to “ BRITTANY OTT ” Practice Location

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