Active NPI
Clarissa Ortega, MASW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1619561784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW106902
- Practice address
- 3250 Wilshire Blvd
Los Angeles, CA 90010-1577 - Phone
- (323) 361-2153
- NPI assigned
- Mar 1, 2021
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | |||
| Clinical Social Worker | 1041C0700X | ASW106902 | CA | Primary |
Addresses
Primary practice location
3250 Wilshire Blvd
Los Angeles, CA 90010-1577
Mailing address
504 Griswold Ave
San Fernando, CA 91340-2412
Phone (818) 723-0253
Other practice location 1
8144 Escondido Canyon Rd
Acton, CA 93510-1534
Phone (661) 678-3894
Other practice location 2
1500 S Olive St
Los Angeles, CA 90015-3023
Phone (213) 747-5542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA | Medicaid | CA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | LosAngeles | Direct | |
| Direct Messaging Address | clarissa@gozoe.org | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| ASW106902 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zoe International | Current | 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.
-
- Mental Health Counselor
- Acton, CA
- NPI 1881267920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1619561784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 GRISWOLD AVE",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913402412",
"telephone_number": "818-723-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101577",
"telephone_number": "323-361-2153"
}
],
"practiceLocations": [
{
"address_1": "8144 Escondido Canyon Rd",
"address_purpose": "LOCATION",
"city": "Acton",
"state": "CA",
"postal_code": "935101534",
"country_code": "US",
"telephone_number": "661-678-3894",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 S Olive St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900153023",
"country_code": "US",
"telephone_number": "213-747-5542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTEGA",
"first_name": "CLARISSA",
"credential": "MASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-01",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW106902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CA",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "LosAngeles",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1500 S Olive St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900153023",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clarissa@gozoe.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8144 Escondido Canyon Rd",
"city": "Acton",
"state": "CA",
"country_code": "US",
"postal_code": "935101534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.