Angel Gadiel Ortega-Valentin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW16923 Issued in FL

Practice address

801 E Baker St
Plant City, FL 33563-3652

Phone

(813) 653-6100

Fax

(813) 938-6423

NPI assigned

Jul 11, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

• Suncoast Community Health Centers Inc

  dba Ruskin Health Center

  • Federally Qualified Health Center (FQHC)
  • Ruskin, FL
  • NPI 1285644799
  Medicare reassignment NPD
• Suncoast Community Health Centers, Inc

  dba Wimauma Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Wimauma, FL
  • NPI 1518388354
  NPD

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1669737102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 ELK MOUNTAIN DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797182",
            "telephone_number": "813-349-7567",
            "fax_number": "813-671-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E BAKER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633652",
            "telephone_number": "813-653-6100",
            "fax_number": "813-938-6423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7728 Palm River Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336194215",
            "country_code": "US",
            "telephone_number": "813-653-6100",
            "fax_number": "813-938-6428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2814 14th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Ruskin",
            "state": "FL",
            "postal_code": "335705471",
            "country_code": "US",
            "telephone_number": "813-653-6100",
            "fax_number": "855-711-0314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14254 SR 574",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "FL",
            "postal_code": "335270000",
            "country_code": "US",
            "telephone_number": "813-653-6100",
            "fax_number": "813-938-6422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 S Lakewood Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335112815",
            "country_code": "US",
            "telephone_number": "813-653-6100",
            "fax_number": "813-938-6426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA-VALENTIN",
        "first_name": "ANGEL",
        "middle_name": "GADIEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Aref MD PLC
• Grety Ondarza Medina
• Oppenheimer Psychological Services
• Optum
• Oracle Home Health Care, LLC
• Orthopaedic Medical Group of Tampa Bay PA
• Ramon Ortiz-Roldan
• Danita T Osbourne, ARNP
• Our Perservation Projects, LLC
• Pamela Sue Ouzts, L.MT

• Clinical Social Worker in Plant City, FL
• Providers in Plant City, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.