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

Lisa Otto

Individual provider Counselor · NPI 1851707574

Lisa Otto is a Clinical Social Worker in Cheyenne, Wyoming. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
12
Licensed in
WY
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

1607 Capitol Ave Fl THE2
Cheyenne, WY 82001
Phone: (307) 630-4729
Fax: (307) 632-3298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 983 (WY)
Counselor Taxonomy 101Y00000X · Licence PCSW-583 (WY)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-983 (WY)

Record details

NPI number1851707574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 2, 2014
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021
Mailing addressPo Box 982, Laramie, WY 82073-0982

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cheyenne