Individual provider Active NPI

Mona Lisa Ortiz-Rosa, LCSW-R

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1154441293
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0378051 Issued in NY
Practice address
875 Avenue of the Americas
Suite 1810
New York, NY 10001-3507
Phone
(212) 868-2427
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R0378051 NY Primary

Addresses

Primary practice location

875 Avenue of the Americas
Suite 1810
New York, NY 10001-3507

Mailing address

32 W 37TH St
#5
New York, NY 10018-7477
Phone (212) 868-2427

Other names 1

  • Miss Mona Lisa Ortiz Former name

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
R0378051NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154441293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W 37TH ST",
            "address_2": "#5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187477",
            "telephone_number": "212-868-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 AVENUE OF THE AMERICAS",
            "address_2": "SUITE 1810",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013507",
            "telephone_number": "212-868-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-ROSA",
        "first_name": "MONA LISA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0378051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONA",
            "last_name": "ORTIZ",
            "middle_name": "LISA",
            "prefix": "MISS",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.