Individual provider Active NPI

Cassandra Isabel Ortiz, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1508349663
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101652 Issued in CA
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

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
83356CAMDMental Health Counselor
101652CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation PastSince Nov 1, 2019 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.

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.

Verify at the official NPI Registry.