Maribel Ortiz Douglas

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

110430 Issued in MA

Practice address

City of Chicopee
80 Church Street
Chicopee, MA 01020-0102

Phone

(413) 594-3437

Fax

(413) 594-3500

NPI assigned

Sep 6, 2018

Last updated

Sep 6, 2018By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1609358621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHICOPEE HIGH SCHOOL",
            "address_2": "820 FRONT STREET",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01020",
            "telephone_number": "413-594-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CITY OF CHICOPEE",
            "address_2": "80 CHURCH STREET",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010200102",
            "telephone_number": "413-594-3437",
            "fax_number": "413-594-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Chicopee High School",
            "address_2": "820 Front Street",
            "address_purpose": "LOCATION",
            "city": "Chicopee",
            "state": "MA",
            "postal_code": "01020",
            "country_code": "US",
            "telephone_number": "413-594-3437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ DOUGLAS",
        "first_name": "MARIBEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "110430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110025828C",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Obrien, RPH
• Karolina Ogrodnik, D.O
• Oyinkansola Oyenike Ogundipe, M.D.
• Brian Oneil, R.PH.
• Christina M Orciari, MA LMHC
• Crystal Ortiz
• Mariann Ortiz, LCSW
• Steven Osei-Mireku
• Allie Ostrowski
• Emmanuella Owusu-Ansah, RN,BS

• School Social Worker in Chicopee, MA
• Providers in Chicopee, MA by specialty
• School Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.