Katie Carolyn Ortiz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW124563 Issued in CA

Practice address

10526 Dubnoff Way
North Hollywood, CA 91606-3921

Phone

(818) 755-4950

Fax

(818) 752-0783

NPI assigned

Jan 25, 2017

Last updated

Aug 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1184161390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15305 RAYEN ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435117",
            "telephone_number": "661-547-3501",
            "fax_number": "818-752-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10526 DUBNOFF WAY",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063921",
            "telephone_number": "818-755-4950",
            "fax_number": "818-752-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "KATIE",
        "middle_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ACSW90597",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW124563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "#95-2633765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Julian Perry Ortiz
• Kaobimdi C Osamor
• Karen V Osburn, CMT, LMT
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• Diana June Osterhues, D.P.T.
• Our Lady of Providence Physical Therapy Clinic

• Clinical Social Worker in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.