Individual provider Active NPI

Marcy Lorraine Ortiz, LSW

  • Social Worker
  • Henderson, NV
National Provider Identifier
1053929505
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8817-S Issued in NV
Practice address
2575 W Horizon Ridge Pkwy Apt 1913
Henderson, NV 89052-5934
Phone
(915) 207-5090
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8817-S NV Primary

Addresses

Primary practice location

2575 W Horizon Ridge Pkwy Apt 1913
Henderson, NV 89052-5934

Mailing address

2575 W Horizon Ridge Pkwy Apt 1913
Henderson, NV 89052-5934

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://console.cloud.google.com/apis/credentials/domainverification?project=focal-dolphin-284019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8817-SNVMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1053929505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 W HORIZON RIDGE PKWY APT 1913",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 W HORIZON RIDGE PKWY APT 1913",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525934",
            "telephone_number": "915-207-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MARCY",
        "middle_name": "LORRAINE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "8817-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://console.cloud.google.com/apis/credentials/domainverification?project=focal-dolphin-284019",
            "affiliation": "N",
            "address_1": "2575 W Horizon Ridge Pkwy Apt 1913",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890525934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.