Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Marissa Ann Otten, LGSW

Individual provider Clinical Social Worker · NPI 1730098161

Marissa Ann Otten, LGSW is a Clinical Social Worker in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in Minnesota and North Carolina.

Licensed in
MN, NC
In the registry since
2026
Specialties on file
2

Practice location Address checks out

1030 N Rogers Ln Ste 121
Raleigh, NC 27610-6083
Phone: (910) 216-9530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P024523 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 36136 (MN)

Record details

NPI number1730098161
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGSW
Sole proprietorYes
NPI enumeratedSeptember 2, 2026
Last updated in NPPESSeptember 2, 2026
Certification dateSeptember 2, 2026

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