Diana Mayoral Ortiz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9141-C Issued in NV

Practice address

205 S Pratt Ave
Carson City, NV 89701-4730

Phone

(775) 882-3945

Fax

(775) 882-6126

NPI assigned

Jun 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carson City Community Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Carson City, NV
  • NPI 1023253267
  NPD (past)
• Carson City Community Counseling Center

  • Community/Behavioral Health Agency
  • Carson City, NV
  • NPI 1659913978

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1114365863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S PRATT AVE",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014730",
            "telephone_number": "775-882-3945",
            "fax_number": "775-882-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S PRATT AVE",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014730",
            "telephone_number": "775-882-3945",
            "fax_number": "775-882-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYORAL ORTIZ",
        "first_name": "DIANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NV",
            "license": "00209-C",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "06714-LC",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9141-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J Maturlo, MD
• Katherine Lynn Mauldin, PA
• Paul Walter Mausling, DO
• Maurice A. Mayer, MD
• Christian Mayor, DPT
• Leslie Katherine Mays, APRN
• Tami Jo MC Knight, MFT
• John McAfee, MD
• Gregg Wayne McAninch, M.D.
• Kathleen McCaffrey, MS, ATC, CSCS

• Clinical Social Worker in Carson City, NV
• Providers in Carson City, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.