Organization Active NPI

Cortez and Associates

  • Clinical Social Worker
  • Adrian, MI
National Provider Identifier
1083820872
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801070787 Issued in MI
Legal business name
CORTEZ AND ASSOCIATES
Practice address
142 E Maumee St
Suite 3
Adrian, MI 49221-2735
Phone
(517) 403-3728
NPI assigned
May 16, 2007
Last updated
Apr 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Mrs. Dora Angelina Woodworth, LMSWNPI 1962700542
Title
Owner Therapist
Phone
(517) 403-3728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801070787 MI Primary

Addresses

Primary practice location

142 E Maumee St
Suite 3
Adrian, MI 49221-2735

Mailing address

3564 Glenn Hill Hwy
Manitou Beach, MI 49253-9720
Phone (517) 403-3728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110425000072 MI Part B Supplier - Clinic/Group Practice 6002091733 Receives reassigned benefits from 1 practitioner
Practice locations: Adrian, MI

National Provider Directory

National Provider Directory

Locations

142 E Maumee St
Ste 3
Adrian, MI 49221
Phone (517) 263-5810

604 S Main St
Ste 4
Adrian, MI 49221
Phone (517) 403-3728

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1083820872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 GLENN HILL HWY",
            "city": "MANITOU BEACH",
            "state": "MI",
            "postal_code": "492539720",
            "telephone_number": "517-403-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E MAUMEE ST",
            "address_2": "SUITE 3",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212735",
            "telephone_number": "517-403-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTEZ AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "WOODWORTH",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "ANGELINA",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "517-403-3728",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.