Jack Lee Otterstrom , LCSW
Social Worker - Clinical • Independence, OR
Professional Overview & Biography Verified Profile Summary
Jack Otterstrom, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Independence, OR. Practice services are available at 656 JASMINE CIR under active NPI credentials.
Frequently performed procedures and clinical services include psychotherapy, health and behavior intervention, individual each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
656 Jasmine Cir
Independence, OR 973519578
Specialty Benchmarks & Practice Insights
Comparative analytics for Social Worker - Clinical in Independence, OR
Practicing in Independence, OR (5148 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
90832
Psychotherapy, 30 minutes
|
35 | 14 | $170.57 | $52.12 |
Medical Specialties & State Licenses
CMS Verified: 2022-09-06NUCC Taxonomy Code: 1041C0700X
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
NUCC Taxonomy Code: 101YP2500X
Definition to come...
NUCC Taxonomy Code: 1041C0700X
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
250 W Marquam St
Mount Angel, OR 973629520
Phone: 9719835214
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 656 JASMINE CIR, INDEPENDENCE, OR 973519578 (Tel: 5412318023)
Registered at 619 BROAD ST S # 19, MONMOUTH, OR 973612372 (Tel: 4123180235)
NPI status registered as active in NPPES database
Registered at 250 W MARQUAM ST, MOUNT ANGEL, OR 973629520 (Tel: 9719835214)
Registered at PO BOX 278, WOODBURN, OR 970710278 (Tel: 9719835260)
Recorded as JACK OTTERSTROM, LCSW
Counselor (License #L5316 in OR)
NPI status registered as active in NPPES database
Registered at 250 W MARQUAM ST, MT. ANGEL, OR 97362 (Tel: 9719835214)
Registered at 1475 MT. HOOD AVE, WOODBURN, OR 97071 (Tel: 9719835333)
Recorded as JACK OTTERSTROM, LCSW
Counselor (License #L5316 in OR)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Jack Otterstrom
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
619 Broad St S # 19
Monmouth, OR 973612372
Phone: 4123180235
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.