Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Shannon Wilson Otu, LCSW

Individual provider Clinical Social Worker · NPI 1447968052

Shannon Wilson Otu, LCSW is a Clinical Social Worker in Winterville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022
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

809 Wickham Dr
Winterville, NC 28590-1610
Phone: (252) 902-4099
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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 C019066 (NC)

Record details

NPI number1447968052
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 11, 2022
Last updated in NPPESSeptember 7, 2026
Certification dateSeptember 7, 2026

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