Erica Denise Ortiz, LCSW, IMH-E III

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-10524 Issued in NM

Practice address

6212 Casa Blanca NW
Albuquerque, NM 87120-3190

Phone

(505) 363-7495

Fax

(505) 554-4343

NPI assigned

Oct 27, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Duke City Mind Institute LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1245994797
  Medicare reassignment NPD
• Corazon Counseling and Consulting LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1396490462
  NPD Authorized official

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1659971919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 CASA BLANCA NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203190",
            "telephone_number": "505-363-7495",
            "fax_number": "505-554-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 CASA BLANCA NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203190",
            "telephone_number": "505-363-7495",
            "fax_number": "505-554-4343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 Riverside Plaza Ln NW Ste 1006300",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871202617",
            "country_code": "US",
            "telephone_number": "505-363-7495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ERICA",
        "middle_name": "DENISE",
        "credential": "LCSW, IMH-E III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87103567",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica@corazoncc.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "6212 Casa Blanca NW",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871203190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Corina Ortiz, BA IS PSYCHOLOGY
• Cristie Lynn Ortiz
• Desiree T Ortiz
• Destiny Ortiz
• Donald J Ortiz, MD
• Ernesto Ortiz
• Felicity Ortiz
• Frances Marie Ortiz
• Gabriela Ortiz
• Irene E. Ortiz, MD

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.