Active NPI
Cassandra Isabel Ortiz, LCSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1508349663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101652
- Practice address
- 3665 Kearny Villa Rd Ste 101
San Diego, CA 92123-1954 - Phone
- (858) 966-5832
- NPI assigned
- Sep 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 83356 | CA | |
| Clinical Social Worker | 1041C0700X | 101652 | CA | Primary |
Addresses
Primary practice location
3665 Kearny Villa Rd Ste 101
San Diego, CA 92123-1954
Mailing address
3665 Kearny Villa Rd Ste 101
San Diego, CA 92123-1954
Phone (858) 966-5832
Other practice location 1
4283 El Cajon Blvd Ste 226
San Diego, CA 92105-1289
Phone (619) 771-4218
Other practice location 2
1161 Bay Blvd Ste B
Chula Vista, CA 91911-2670
Phone (619) 585-7686
Other practice location 3
1002 E Grand Ave
Escondido, CA 92025-4605
Phone (760) 741-2660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83356 | CA | MD | Mental Health Counselor |
| 101652 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Chula Vista, CA
- NPI 1720271448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1508349663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3665 KEARNY VILLA RD STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231954",
"telephone_number": "858-966-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3665 KEARNY VILLA RD STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231954",
"telephone_number": "858-966-5832"
}
],
"practiceLocations": [
{
"address_1": "4283 El Cajon Blvd Ste 226",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921051289",
"country_code": "US",
"telephone_number": "619-771-4218",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1161 Bay Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919112670",
"country_code": "US",
"telephone_number": "619-585-7686",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1002 E Grand Ave",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920254605",
"country_code": "US",
"telephone_number": "760-741-2660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ",
"first_name": "CASSANDRA",
"middle_name": "ISABEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "83356",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "101652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.