Active NPI
Stacie Angela Ortiz, LISW
- School Social Worker
- Albuquerque, NM
National Provider Identifier
1558782425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- I-8534
- Practice address
- 1718 Yale Blvd SE
Albuquerque, NM 87106-4286 - Phone
- (505) 938-7700
- NPI assigned
- Dec 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | I-8534 | NM | Primary |
Addresses
Primary practice location
1718 Yale Blvd SE
Albuquerque, NM 87106-4286
Mailing address
1718 Yale Blvd SE
Albuquerque, NM 87106-4286
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 |
|---|---|---|---|
| I-8534 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1558782425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 YALE BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 YALE BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064286",
"telephone_number": "505-938-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "STACIE",
"middle_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-19",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "I-8534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.