Active NPI
Brenda Ortiz, LCSW
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1043384969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076922
- Practice address
- 1024 Westchester Ave
Bronx, NY 10459-2415 - Phone
- (718) 765-6340
- Fax
- (347) 448-5436
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 064610-1 | NY | |
| Clinical Social Worker | 1041C0700X | 076922 | NY | Primary |
Addresses
Primary practice location
1024 Westchester Ave
Bronx, NY 10459-2415
Mailing address
PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730
Other practice location 1
200 Corporate Blvd S
Yonkers, NY 10701-6806
Phone (914) 709-3906
Other practice location 2
1301 5th Ave
New York, NY 10029-3119
Phone (212) 426-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210216002815 | NY | Practitioner - Clinical Social Worker | 3274948625 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064610-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1043384969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746087",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746087",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104592415",
"telephone_number": "718-765-6340",
"fax_number": "347-448-5436"
}
],
"practiceLocations": [
{
"address_1": "200 Corporate Blvd S",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107016806",
"country_code": "US",
"telephone_number": "914-709-3906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 5th Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100293119",
"country_code": "US",
"telephone_number": "212-426-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ",
"first_name": "BRENDA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "064610-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.