Individual provider Active NPI

Camille Ortanez, LCSW, LPCC

  • Clinical Social Worker
  • Woodland Hills, CA
National Provider Identifier
1407083678
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS24616 Issued in CA
Practice address
20501 Ventura Blvd. Suite 213
Woodland Hills, CA 91364-2337
Phone
(818) 922-4367
Fax
(818) 716-5054
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 24616 CA
Clinical Social Worker 1041C0700X LCS24616 CA Primary
Counselor 101Y00000X LPC391 CA

Addresses

Primary practice location

20501 Ventura Blvd. Suite 213
Woodland Hills, CA 91364-2337

Mailing address

20501 Ventura Blvd. Suite 213
Woodland Hills, CA 91364-2337
Phone (818) 922-4367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100802000829 CA Practitioner - Clinical Social Worker 0042343766 Reassigns benefits to 1 organization
Practice locations: Woodland Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20501 Ventura Blvd
Woodland Hills, CA 91364-0847
Phone (818) 922-4367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC391CAMDCounselor
LCS24616CAMDClinical Social Worker
24616CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Psychotherapy Group Inc Clinical CurrentSince Feb 18, 2024 Accepting new patients

Locations

20501 Ventura Blvd
Ste 213
Woodland Hills, CA 91364
Phone (818) 922-4367

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1407083678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20501 VENTURA BLVD. SUITE 213",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642337",
            "telephone_number": "818-922-4367",
            "fax_number": "818-716-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20501 VENTURA BLVD. SUITE 213",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642337",
            "telephone_number": "818-922-4367",
            "fax_number": "818-716-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTANEZ",
        "first_name": "CAMILLE",
        "credential": "LCSW, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 24616",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24616",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "LPC391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.