Individual provider Active NPI

Marcia Catherine Ortegon, LCSW

  • Clinical Social Worker
  • Argyle, TX
National Provider Identifier
1659671972
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29969 Issued in TX
Practice address
3713 Stardust LN
Argyle, TX 76226-2208
Phone
(214) 546-7041
Fax
(940) 293-0681
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 29969 TX
Clinical Social Worker 1041C0700X 29969 TX Primary

Addresses

Primary practice location

3713 Stardust LN
Argyle, TX 76226-2208

Mailing address

PO Box 50524
Denton, TX 76206-0524
Phone (214) 546-7041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000091 TX Practitioner - Clinical Social Worker 2062695844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Northlake, TX 76226
Phone (214) 546-7041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29969TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ortegon Consultants PLLC Clinical CurrentSince Apr 10, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1659671972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50524",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762060524",
            "telephone_number": "214-546-7041",
            "fax_number": "940-293-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 STARDUST LN",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762262208",
            "telephone_number": "214-546-7041",
            "fax_number": "940-293-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGON",
        "first_name": "MARCIA",
        "middle_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "29969",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "29969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Argyle, TX

Sources for this page

Verify at the official NPI Registry.