Active NPI
Briana Maria Ortega, MSW,RCSWI
- Clinical Social Worker
- Rockledge, FL
National Provider Identifier
1710632286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW16470
- Practice address
- 1290 Rockledge Blvd FL 32955
Rockledge, FL 32955-2712 - Phone
- (321) 407-2751
- Fax
- (321) 208-8119
- NPI assigned
- Feb 14, 2022
- Last updated
- Feb 14, 2022
- Sex
- Female
- 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 | ISW16470 | FL | Primary |
Addresses
Primary practice location
1290 Rockledge Blvd FL 32955
Rockledge, FL 32955-2712
Mailing address
3040 N Wickham Rd Ste 5
Melbourne, FL 32935-2369
Phone (321) 405-2751
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW16470 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Mental Health Services | Current | Accepting new patients | |
| Trident Healthcare LLC | Multi-Specialty | Past | Accepting new patients |
Locations
1290 US Highway 1
Rockledge, FL 32955
Phone (321) 405-1271
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockledge, FL
- NPI 1487273157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1710632286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 N WICKHAM RD STE 5",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329352369",
"telephone_number": "321-405-2751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 ROCKLEDGE BLVD FL 32955",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552712",
"telephone_number": "321-407-2751",
"fax_number": "321-208-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "BRIANA",
"middle_name": "MARIA",
"credential": "MSW,RCSWI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-14",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW16470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.