Individual
ERICA DENISE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, IMH-E III
Contact information
Practice address
6212 CASA BLANCA NW, ALBUQUERQUE, NM 87120-3190
(505) 363-7495
(505) 554-4343
Mailing address
6212 CASA BLANCA NW, ALBUQUERQUE, NM 87120-3190
(505) 363-7495
(505) 554-3435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10524
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87103567
—
NM
Enumeration date
10/27/2020
Last updated
11/10/2023
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