Active NPI
Miguel Ortiz
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1629846431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007807
- Practice address
- 3495 Piedmont Road NE
Atlanta, GA 30305 - Phone
- (404) 364-7000
- NPI assigned
- Dec 12, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 007807 | GA | Primary |
Addresses
Primary practice location
3495 Piedmont Road NE
Atlanta, GA 30305
Mailing address
350 Dollar Mill Road SW
Atlanta, GA 30331
Phone (646) 407-5064
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1629846431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 DOLLAR MILL ROAD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30331",
"telephone_number": "646-407-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 PIEDMONT ROAD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-364-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "MIGUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "007807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.