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

Madison Ottjepka, LMSW

Individual provider Clinical Social Worker · NPI 1770126955

Madison Ottjepka, LMSW is a Clinical Social Worker in Marine City, Michigan. Qualified in 2021, 5 years ago. Practices with St Clair County Community Mental Health Authority, a 53-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

6221 King Rd
Marine City, MI 48039-1428
Phone: (810) 765-8539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801119521 (MI)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1770126955
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedOctober 21, 2019
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address135 Broadway St, Marine City, MI 48039-1607

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Clair County Community Mental Health Authority — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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