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NPI 1083260137

NPI 1083260137 : ROXANA ORTEGA LCSW-S : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1083260137
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    Entity Type          |    Individual 
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    Provider Name        |    ROXANA ORTEGA LCSW-S
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/14/2019
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    Last Update Date     |    10/09/2025
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Provider Practice Location Address
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    Address Line         |    8941 VIGEN CIR 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78748-1601
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    Country              |    US
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    Telephone            |    512-593-2620
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8941 VIGEN CIR 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78748-1601
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    Country              |    US
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    Telephone            |    512-577-7045
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    50930
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    License Number State |    TX
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