Marissa Lety Ortiz, LCSW is a
Social Worker - Clinical based in San Bernardino, California. Marissa Lety Ortiz is licensed to practice in California (license number 111925) and her current practice location is
1908 Business Center Dr, San Bernardino, California. She can be reached at her office (for appointments etc.) via phone at
(909) 890-5930.
NPI number for Marissa Lety Ortiz is 1518588136 and her current mailing address is 1908 Business Center Dr, San Bernardino, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518588136.
Healthcare Provider's Profile
| Full Name | Marissa Lety Ortiz |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 1908 Business Center Dr, San Bernardino, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518588136
- Provider Enumeration Date: 05/05/2020
- Last Update Date: 11/25/2022
Medical Identifiers
Medical identifiers for Marissa Lety Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518588136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 89504 (California) | Secondary |
| 104100000X | Social Worker | 89504 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 111925 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marissa Lety Ortiz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marissa Lety Ortiz, LCSW
1908 Business Center Dr,
San Bernardino, CA 92408-3436
Ph: (909) 890-5930 | Marissa Lety Ortiz, LCSW
1908 Business Center Dr,
San Bernardino, CA 92408-3436
Ph: (909) 890-5930 |
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