MEDICARE: MS. BRUNILDA ORTIZ 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	37259	TX
2	1041C0700X	Clinical Social Worker
3	171M00000X	Case Manager/Care Coordinator	37259	TX
4	1041C0700X	Clinical Social Worker	37259	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	263976S5T	OTHER	TX	MEDICARE PTAN GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891889697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRUNILDA ORTIZ LCSW

Provider Business Mailing Address
First Line	:	421 COUNTY ROAD 3379
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-8762
Country	:	US
Telephone Number	:	713-851-8145
Fax Number	:

Provider Business Practice Location Address
First Line	:	4755 ALDINE MAIL ROUTE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77039-5934
Country	:	US
Telephone Number	:	281-985-7600
Fax Number	:

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	03/17/2025

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