Theresa Dianne Caballero Ortiz, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 60541848 Issued in WA

Practice address

9300 NE Oak View Dr
Vancouver, WA 98662-6347

Phone

(360) 567-2211

Fax

(360) 567-2212

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1205050556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10265 SW WALNUT STREET",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NE OAK VIEW DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626347",
            "telephone_number": "360-567-2211",
            "fax_number": "360-567-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "THERESA",
        "middle_name": "DIANNE CABALLERO",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60541848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Diane Orthel, MA CCC-SLP
• Jose Nathan Ortiz Cadena, MAE
• Aasin Ortiz
• Belen Ortiz
• Denise Ortiz
• Jeff Kenneth Ortman, LMHC, LPC, CACD I
• Kay Elizabeth Ortman, FNP
• Christianne Osborn, CCC-SLP
• Janelle Osborn
• Dan Lee Osborne, PA-C

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.