Clinical Social Worker

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

9309 Issued in PR

Legal business name

CLINICAL SOCIAL WORKER

Doing business as

Clinical Social Worker

Practice address

10 Calle Casia
San Juan, PR 00921-3200

Phone

(787) 248-4873

NPI assigned

Aug 15, 2012

Last updated

Aug 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yaniris Ortiz Gonzalez, LICENSE # 9309NPI 1568993921

Title

Social Worker

Phone

(787) 248-4873

Specialties & licenses 1

Addresses

Other names 1

• Clinical Social Worker Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yaniris Ortiz Gonzalez

  • Clinical Social Worker
  • San Juan, PR
  • NPI 1568993921
  Authorized official Same address or phone

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1649528084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006500545",
            "telephone_number": "787-248-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE CASIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-248-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "ORTIZ GONZALEZ",
        "authorized_official_first_name": "YANIRIS",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "787-248-4873",
        "authorized_official_credential": "LICENSE # 9309"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PR",
            "license": "9309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Social Worker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinica Todo Salud - Caguas LLC
• Clinical & Neuropsychological Unit of PR,
• Clinical Healthcare Alliance PSC
• Clinical Infectious Diseases Consulting Services LLC
• Clinical Nutrition Center, LLC
• Clinical Solutions LLC
• Clinicas de Salud-Eps
• Skylar Olivia Clum
• CM Care Medical Inc.
• CM Physiatry PSC

• Community/Behavioral Health Agency in San Juan, PR
• Providers in San Juan, PR by specialty
• Community/Behavioral Health Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.