MEDICARE: MS. ABIGAIL D. ORTEGA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	0793301	NY
2	1041C0700X	Clinical Social Worker	69747	CA

General Provider Information

NPI Number	:	1356530265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ABIGAIL D. ORTEGA LCSW

Provider Business Mailing Address
First Line	:	2929 WESTMINSTER AVE UNIT 3191
Second Line	:
City	:	SEAL BEACH
State	:	CA
Zip	:	90740-9148
Country	:	US
Telephone Number	:	562-386-5887
Fax Number	:

Provider Business Practice Location Address
First Line	:	3840 WOODRUFF AVE STE 204
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-2149
Country	:	US
Telephone Number	:	562-386-5887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	03/27/2026

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