Individual provider Active NPI

Nidia J Cruz-Ortiz, LCSW

  • Clinical Social Worker
  • Ocala, FL
National Provider Identifier
1356844799
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17549 Issued in FL
Practice address
2553 E Silver Springs Blvd
Ocala, FL 34470-7009
Phone
(352) 732-6599
NPI assigned
Mar 12, 2018
Last updated
Oct 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW16029 AZ
Clinical Social Worker 1041C0700X 149.019630 IL
Clinical Social Worker 1041C0700X SW17549 FL Primary

Addresses

Primary practice location

2553 E Silver Springs Blvd
Ocala, FL 34470-7009

Mailing address

3614 SW 129TH PL
Ocala, FL 34473-3868
Phone (352) 220-2375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20211216001847 FL Practitioner - Clinical Social Worker 2860883360 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW16029AZMDSocial Worker
SW17549FLMDClinical Social Worker
149.019630ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Florida Health Center, Inc Clinical CurrentSince Dec 1, 2021 Accepting new patients
Heart of Florida Health Center Inc CurrentSince Dec 1, 2021 Accepting new patients
Heart of Florida Health Center Inc Past Accepting new patients
Heart of Florida Health Center Inc Past Accepting new patients

Locations

5051 SE 110th St
Belleview, FL 34420
Phone (335) 267-4173

19204 E Pennsylvania Ave
Dunnellon, FL 34432
Phone (352) 465-2449

100 Marion Oaks Blvd
Ocala, FL 34473

1025 SW 1st Ave
Ocala, FL 34471
Phone (352) 877-7140

2553 E Silver Springs Blvd
Ocala, FL 34470
Phone (352) 867-0303

6041 SW 54th St
Ste 100
Ocala, FL 34474
Phone (352) 854-0700

4500 NW 152nd Ln
Reddick, FL 32686
Phone (352) 591-2470

Organizations & group practices 4

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": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1356844799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 SW 129TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344733868",
            "telephone_number": "352-220-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 E SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344707009",
            "telephone_number": "352-732-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-ORTIZ",
        "first_name": "NIDIA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW16029",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019630",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.