Support Path Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUPPORT PATH THERAPY

Practice address

1359 Sonora Ave
Glendale, CA 91201-1411

Phone

(909) 263-4307

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Valerie Anne Ortega, LCSWNPI 1659528875

Title

Owner/Ceo

Phone

(747) 272-9983

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valerie Anne Ortega, LCSW

  • Clinical Social Worker
  • Reseda, CA
  • NPI 1659528875
  NPD Authorized official

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1821878075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5794",
            "address_2": "6444 SAN FERNANDO ROAD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91201",
            "telephone_number": "747-272-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 SONORA AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011411",
            "telephone_number": "909-263-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT PATH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "747-272-9983",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.