Amal Othman, LICSW
Social Worker, Clinical in Madison, WI. Individual provider (NPI-1).
NPI number1164076352
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1164076352
- Entity type
- Individual (NPI-1)
- Name
- Amal Othman
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2019
- Certification date
- Dec 15, 2021
- Last updated
- Dec 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 8582-123 | WI | Yes |
| 1041C0700X | Social Worker, Clinical | LW60958275 | WA |
Practice location
211 S Paterson St Ste 352Madison, WI 53703-4501
Phone 206-939-0909
Mailing address
211 S Paterson St Ste 352Madison, WI 53703-4501
Phone 206-939-0909
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