Healthcare Provider Details

I. General information

NPI: 1740151992
Provider Name (Legal Business Name): SASHA ORTEGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W HERMOSA DR
ARTESIA NM
88210-2772
US

IV. Provider business mailing address

601 W HERMOSA DR
ARTESIA NM
88210-2772
US

V. Phone/Fax

Practice location:
  • Phone: 575-746-3812
  • Fax:
Mailing address:
  • Phone: 575-746-3812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberSWB-2025-0641
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: