Provider Demographics
NPI:1558984930
Name:OTKINS & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:OTKINS & ASSOCIATES, LLC
Other - Org Name:ADRIENNE OTKINS, LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:OTKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-510-6551
Mailing Address - Street 1:328 N WALLER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60644-2248
Mailing Address - Country:US
Mailing Address - Phone:773-413-7630
Mailing Address - Fax:
Practice Address - Street 1:6601 NORTH AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1084
Practice Address - Country:US
Practice Address - Phone:773-510-6551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty