Grace Ortiz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108100 Issued in TX

Practice address

2801 Keebler Rd
Maryville, IL 62062-6866

Phone

(217) 836-2395

NPI assigned

Jan 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Grace Settles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1104531078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 KEEBLER RD",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626866",
            "telephone_number": "217-836-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 KEEBLER RD",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626866",
            "telephone_number": "217-836-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "SETTLES",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Ober
• Rebecca Erin Oberkrom, PA-C
• Boluwatife Olaoluwa Ojewande
• Jennifer Oliveira, CRNA
• Open MRI of Southern Illinois LLC
• Jennifer Osaben
• Markel L Owens, M.D.
• Morgan Parker
• Ryan Parker, NP-C
• Kathleen M. Parks, MS, CCC-SLP

• Clinical Social Worker in Maryville, IL
• Providers in Maryville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.