| Edith Ortiz, Licsw | |
|
338 West St # 1 Boston MA 02136-1320 | |
| (617) 807-0179 | |
| Not Available |
| Full Name | Edith Ortiz, Licsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 338 West St # 1, Boston, Massachusetts |
| Authorized Official Name and Position | Edith Ortiz (CLINICIAN SOCIAL WORKER) |
| Authorized Official Contact | 7736783315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edith Ortiz, Licsw 338 West St # 1 Boston MA 02136-1320 Ph: () - | Edith Ortiz, Licsw 338 West St # 1 Boston MA 02136-1320 Ph: (617) 807-0179 |
| NPI Number | 1205655446 |
|---|---|
| Provider Enumeration Date | 10/04/2024 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205655446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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