Thais Ortolaza

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12935 Issued in CT

Practice address

331 Wethersfield Ave
Hartford, CT 06114-1420

Phone

(860) 310-6069

NPI assigned

Apr 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

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.

• Community Mental Health Affiliates Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Britain, CT
  • NPI 1174624423
  Medicare reassignment NPD
• The Village for Families & Children, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Hartford, CT
  • NPI 1841362795
  Medicare reassignment NPD

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1982390134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WETHERSFIELD AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141420",
            "telephone_number": "860-310-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 WETHERSFIELD AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141420",
            "telephone_number": "860-310-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTOLAZA",
        "first_name": "THAIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Ortique
• Dianella Desiree Ortiz Roiter
• Amy T Ortiz-Lopez, MSW
• Charlie Ortiz, LMSW
• Nathalie Amanda Ortiz, LCSW
• Vladimir Osadchyi, MBBCH
• Ibitoro N Osakwe, MD
• Keith A Osborne, LCSW
• Allison Mary Osga, APRN
• Tara Ivette Osorio, RN

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.