Individual provider Active NPI

Lettie Ordone, LCSW

  • Clinical Social Worker
  • Tracy, CA
National Provider Identifier
1932433778
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24606 Issued in CA
Practice address
2311 N Tracy Blvd Ste a
Tracy, CA 95376-2426
Phone
(209) 640-4179
Fax
(209) 207-9225
NPI assigned
Sep 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24606 CA Primary

Addresses

Primary practice location

2311 N Tracy Blvd Ste a
Tracy, CA 95376-2426

Mailing address

793 S Tracy Blvd # 370
Tracy, CA 95376-4753
Phone (209) 640-4179

Other identifiers 1

IdentifierTypeStateIssuer
1639546120MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20200206001802 CA Practitioner - Clinical Social Worker 0345676524

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2160 W Grant Line Rd
Suite 215
Tracy, CA 95377-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24606CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1254009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1932433778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 S TRACY BLVD # 370",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764753",
            "telephone_number": "209-640-4179",
            "fax_number": "209-207-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 N TRACY BLVD STE A",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762426",
            "telephone_number": "209-640-4179",
            "fax_number": "209-207-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDONE",
        "first_name": "LETTIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-27",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639546120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.