Individual provider Active NPI

Angela Carmel Ortiz-Flores, LISW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1285818559
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-06255 Issued in NM
Practice address
2019 Galisteo St
Ste M5
Santa Fe, NM 87505-2106
Phone
(505) 982-0191
Fax
(505) 983-6402
NPI assigned
Dec 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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 I-06255 NM Primary

Addresses

Primary practice location

2019 Galisteo St
Ste M5
Santa Fe, NM 87505-2106

Mailing address

2255 Camino Iris
Santa Fe, NM 87505-4953
Phone (505) 699-0592

Other identifiers 1

IdentifierTypeStateIssuer
78558MedicaidNM

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
I20141208000737 NM Practitioner - Clinical Social Worker 2466774112 Reassigns benefits to 1 organization
Practice locations: Santa Fe, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2019 Galisteo St
Suite M5
Santa Fe, NM 87505-2106
Phone (505) 982-0191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pieces Family Services LLC Clinical CurrentSince Apr 10, 2021 Accepting new patients

Locations

2019 Galisteo St
Ste M5
Santa Fe, NM 87505
Phone (505) 426-1200

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1285818559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 CAMINO IRIS",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054953",
            "telephone_number": "505-699-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST",
            "address_2": "STE M5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052106",
            "telephone_number": "505-982-0191",
            "fax_number": "505-983-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-FLORES",
        "first_name": "ANGELA",
        "middle_name": "CARMEL",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78558",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.