Active NPI
Virginia Denise Ortiz
- Clinical Social Worker
- Tucson, AZ
National Provider Identifier
1194010918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-15390
- Practice address
- 140 N Tucson Blvd
Tucson, AZ 85716-4740 - Phone
- (520) 881-1292
- Fax
- (520) 881-1648
- NPI assigned
- Jun 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW-13170 | AZ | |
| Clinical Social Worker | 1041C0700X | LCSW-15390 | AZ | Primary |
Addresses
Primary practice location
140 N Tucson Blvd
Tucson, AZ 85716-4740
Mailing address
140 N Tucson Blvd
Tucson, AZ 85716-4740
Phone (520) 881-1292
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-13170 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1194010918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 N TUCSON BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857164740",
"telephone_number": "520-881-1292",
"fax_number": "520-881-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N TUCSON BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857164740",
"telephone_number": "520-881-1292",
"fax_number": "520-881-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "VIRGINIA",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LMSW-13170",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-15390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.