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

Mrs. Judith A Otto, LCSW

Individual provider Social Worker · NPI 1982611265

Mrs. Judith A Otto, LCSW is a Clinical Social Worker in Brookfield, Wisconsin. Qualified in 1988, 38 years ago. Practices with Christian Life Counseling LLC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
38
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12630 W North Ave Bldg E
Brookfield, WI 53005
Phone: (262) 785-1008
Fax: (262) 432-9059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • W175n11163 Stonewood Dr Ste 202, Germantown, WI 53022-6502 — (262) 785-1008

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 170-123 (WI)
Social Worker Taxonomy 104100000X · Licence 170-123 (WI)

Record details

NPI number1982611265
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESMay 30, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Christian Life Counseling Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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