Provider Demographics
NPI:1093982803
Name:ORTIZ, MARIA D (SOCIAL WORKER)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:D
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E PALM AVE
Mailing Address - Street 2:APT 709
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-2236
Mailing Address - Country:US
Mailing Address - Phone:813-480-7984
Mailing Address - Fax:813-223-6983
Practice Address - Street 1:215 E PALM AVE
Practice Address - Street 2:APT 709
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-2236
Practice Address - Country:US
Practice Address - Phone:813-480-7984
Practice Address - Fax:813-223-6983
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health