Provider Demographics
NPI:1265783690
Name:ORTIZ, MARIA Y (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:Y
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WALL STREET, 9TH FLOOR
Mailing Address - Street 2:NYU FGP CREDENTIALING
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-2187
Mailing Address - Country:US
Mailing Address - Phone:646-501-3309
Mailing Address - Fax:212-263-4539
Practice Address - Street 1:514 49TH ST
Practice Address - Street 2:NYU LUTHERAN FAMILY HEALTH CENTERS SUNSET TERRACE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2010
Practice Address - Country:US
Practice Address - Phone:718-431-2600
Practice Address - Fax:646-754-7577
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084364-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical