MEDICARE: HEATHER ELIZABETH 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	1041C0700X	Clinical Social Worker	91636	CA

General Provider Information

NPI Number	:	1124578851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ELIZABETH ORTEGA LCSW

Provider Business Mailing Address
First Line	:	600 MARKETVIEW
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92602-1696
Country	:	US
Telephone Number	:	909-230-8059
Fax Number	:

Provider Business Practice Location Address
First Line	:	24321 AVENIDA DE LA CARLOTA STE H6
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3681
Country	:	US
Telephone Number	:	949-204-3006
Fax Number	:	949-389-2001

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

Provider Enumeration Date	:	10/05/2016
Last Update Date	:	01/06/2026

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