Individual provider Active NPI

Karina Rendon Ortiz, LCSW

  • Clinical Social Worker
  • Addison, TX
National Provider Identifier
1003798992
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69520 Issued in TX
Practice address
15620 Quorum Dr
Addison, TX 75001-3338
Phone
(214) 267-9556
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 69520 TX Primary

Addresses

Primary practice location

15620 Quorum Dr
Addison, TX 75001-3338

Mailing address

15620 Quorum Dr
Addison, TX 75001-3338
Phone (214) 267-8946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107004772 TX Practitioner - Clinical Social Worker 6305336215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

351 W Jefferson Blvd
Suite 302
Dallas, TX 75208-4859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69520TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cannenta Center for Healing and Empowerment LLC Clinical CurrentSince Oct 24, 2025 Accepting new patients

Locations

15620 Quorum Dr
Addison, TX 75001
Phone (214) 267-8946

15851 Dallas Pkwy
Ste 600
Addison, TX 75001
Phone (214) 267-9556

351 W Jefferson Blvd
#302
Dallas, TX 75208
Phone (214) 267-8946

351 W Jefferson Blvd
Ste 302
Dallas, TX 75208
Phone (214) 267-8946

Networks

  • TX HMO D-SNP
  • TX HMO
  • NM HMO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1003798992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15620 QUORUM DR",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013338",
            "telephone_number": "214-267-8946",
            "fax_number": "469-916-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 QUORUM DR",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013338",
            "telephone_number": "214-267-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDON ORTIZ",
        "first_name": "KARINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.