Holly Ortiz
Individual provider Active NPI Social Worker · Stafford Springs, CT
NPI 1104593946 · NPPES record last updated Aug 28, 2021
Key facts
- NPI
- 1104593946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 44 Tolland Ave Apt 57
Stafford Springs, CT 06076-1385 - Phone
- (832) 775-2458
- NPI assigned
- Aug 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Resilience Center of Houston LLC
Practice addresses (Care Compare)
2808 Caroline St
Suite 201
Houston, TX 77004-2760
Phone (346) 206-3992
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250124001151 | TX | Practitioner - Clinical Social Worker | 6709315476 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109005 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Resilience Center of Houston, LLC | Current |
Accepting new patients |
Locations
14930 Mueschke Rd
Ste 100
Cypress, TX 77433
Phone (713) 826-8150
2808 Caroline St
Ste 201
Houston, TX 77004
Phone (319) 483-8595
12234 Shadow Creek Pkwy
Bldg 10
Pearland, TX 77584
Phone (737) 241-8677
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
44 Tolland Ave Apt 57
Stafford Springs, CT 06076-1385
Mailing address
44 Tolland Ave Apt 57
Stafford Springs, CT 06076-1385
Phone (832) 775-2458
Other providers in Stafford Springs, CT
- Megan McCollum
- Mindful Matters Counseling, LLC
- Chloe Molitoris
- Nes Medical Services of Northern Connecticut, P.C.
- Nutmeg Healthcare Associates, P.C.
- Julia Paakkonen
- Cheryl Page
- Riley Kate Palozej
- Susan Parker
- Mahendra S Patel
All providers in Stafford Springs, CT · Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.