Adis Orta, ED.D., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10917 Issued in FL

Practice address

2525 Ponce de Leon Blvd FL 3
Coral Gables, FL 33134-6037

Phone

(305) 801-9219

NPI assigned

Jan 28, 2022

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 names 1

• Adis Orta Professional name

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Living Memory Health IncGroup PAC ID 7517480577, 113 clinicians

Practice addresses (Care Compare)

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.

• Senior Living Memory Health, Inc.

  • Clinical Psychologist
  • North Miami Beach, FL
  • NPI 1851847834

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1740933936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 SW 173RD TER",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575724",
            "telephone_number": "305-801-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PONCE DE LEON BLVD FL 3",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346037",
            "telephone_number": "305-801-9219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9314 SW 173rd Ter",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331575724",
            "country_code": "US",
            "telephone_number": "305-801-9219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTA",
        "first_name": "ADIS",
        "name_prefix": "Dr.",
        "credential": "ED.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADIS",
            "last_name": "ORTA",
            "credential": "ED.D., LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Orlando Rossel MD PA
• Barbara Oro
• Karina Orofino
• Eben A Oroz
• Carlos Rolando Orozco, DPT
• Elizabeth Lourdes Ortea, APRN
• Lorelei Ortega Diaz
• Miriam Amelia Ortega Moronta
• Mercedes B Ortega Perez
• Manuel Ortega, M.D.

• Clinical Social Worker in Coral Gables, FL
• Providers in Coral Gables, 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 Jan 28, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.