Mark Anthony Ortega, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09499 Issued in NM

Practice address

2716 San Pedro Dr NE Ste D
Albuquerque, NM 87110-3331

Phone

(505) 710-5188

NPI assigned

May 26, 2010

Sex

Male

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1285953513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 THOMPSON LN SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054434",
            "telephone_number": "505-710-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 SAN PEDRO DR NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103331",
            "telephone_number": "505-710-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julieta Ortega
• Kayla Rose Ortega
• Larry Ortega
• Leslie Ortega, BA
• Louis Ortega, RPH
• Mary Lucille Ortega, LMHC
• Meghan Therese Ortega
• Michael Ortega
• Monica E Ortega, CNP
• Nicholas Ruben Ortega, LADAC

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.