Individual provider Active NPI

Manuel A Ortega, LCSW

  • Clinical Social Worker
  • Silver City, NM
National Provider Identifier
1205339454
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11960 Issued in NM
Practice address
1311 N Grant St Ste a
Silver City, NM 88061
Phone
(575) 388-1447
NPI assigned
Mar 14, 2018
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 C-11960 NM Primary

Addresses

Primary practice location

1311 N Grant St Ste a
Silver City, NM 88061

Mailing address

1311 N Grant St Ste a
Silver City, NM 88061-5134
Phone (575) 388-1447

Other practice location 1

101 S Copper St
Deming, NM 88030-3610
Phone (575) 590-8886

Other practice location 2

603 Hadeco Dr
Lordsburg, NM 88045-1813
Phone (575) 542-8447

Other identifiers 1

IdentifierTypeStateIssuer
86356844MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240408001657 NM Practitioner - Clinical Social Worker 0143668350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Management Center PCGroup PAC ID 6204272719, 3 clinicians

Practice addresses (Care Compare)

1311 N Grant St
Suite a
Silver City, NM 88061-5134
Phone (575) 388-1447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery and Resiliency Services Addiction (Substance Use Disorder) CurrentSince Jan 30, 2024 Accepting new patients
Recovery Management Center, PC Addiction (Substance Use Disorder) CurrentSince Jan 30, 2024 Accepting new patients

Locations

101 S Copper St
Deming, NM 88030
Phone (575) 590-8886

603 Hadeco Dr
Lordsburg, NM 88045
Phone (575) 542-3539

1311 N Grant St
Ste A
Silver City, NM 88061
Phone (575) 388-1447

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1205339454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N GRANT ST STE A",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615134",
            "telephone_number": "575-388-1447",
            "fax_number": "575-388-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N GRANT ST STE A",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "88061",
            "telephone_number": "575-388-1447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Copper St",
            "address_purpose": "LOCATION",
            "city": "Deming",
            "state": "NM",
            "postal_code": "880303610",
            "country_code": "US",
            "telephone_number": "575-590-8886",
            "fax_number": "575-546-4362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 Hadeco Dr",
            "address_purpose": "LOCATION",
            "city": "Lordsburg",
            "state": "NM",
            "postal_code": "880451813",
            "country_code": "US",
            "telephone_number": "575-542-8447",
            "fax_number": "575-542-8447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "MANUEL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86356844",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.