Yacyrenia Ortiz-Soba, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8351573 Issued in NY

Practice address

74-09 37TH Avenue, Suite 315
Western Queens Consultation Center
Jackson Heights, NY 11372-6300

Phone

(718) 672-1705

Fax

(718) 672-2027

NPI assigned

Dec 26, 2013

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

Other names 1

• Yacyrenia Ortiz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mental Health Providers of Western Queens, Inc.

  • Adult Mental Health Clinic/Center
  • Jackson Heights, NY
  • NPI 1477699791
  NPD (past)

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1376964965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-09 37TH AVENUE, SUITE 315",
            "address_2": "WESTERN QUEENS CONSULTATION CENTER",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726300",
            "telephone_number": "718-672-1705",
            "fax_number": "718-672-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-09 37TH AVENUE, SUITE 315",
            "address_2": "WESTERN QUEENS CONSULTATION CENTER",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726300",
            "telephone_number": "718-672-1705",
            "fax_number": "718-672-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-SOBA",
        "first_name": "YACYRENIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "8351573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YACYRENIA",
            "last_name": "ORTIZ",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Optima Pharmacy Inc.
• Oral & Maxillofacial Surgery of Queens, LLC
• Jaione Orcolaga, MSW,MA
• Alvin P. Orodio, PT
• Marimar Ortega, FNP
• Angela Maria Ortiz, LMHC
• Christine Ortiz
• Jose E Ortiz, MD
• Jennifer Osorio, MSW
• Edward Ostad, MD

• Social Worker in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.