Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amal Othman, LICSW

Individual provider Clinical Social Worker · NPI 1164076352

Amal Othman, LICSW is a Clinical Social Worker in Madison, Wisconsin. Licensed in Washington and Wisconsin. Registered with an NPI since 2019.

Licensed in
WA, WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

211 S Paterson St Ste 352
Madison, WI 53703-4501
Phone: (206) 939-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8582-123 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW60958275 (WA)

Record details

NPI number1164076352
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 26, 2019
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021

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