Provider Demographics
NPI:1821857772
Name:ORTIZ, DANIELLE V (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:V
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 NORTHEAST INTERSTATE 410 LOOP
Mailing Address - Street 2:SUITE 634
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209
Mailing Address - Country:US
Mailing Address - Phone:210-371-7663
Mailing Address - Fax:
Practice Address - Street 1:909 NE INTERSTATE 410 LOOP
Practice Address - Street 2:SUITE 634
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-3944
Practice Address - Country:US
Practice Address - Phone:210-570-0491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111029104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker