Doctor Name: | MRS. CECILIA TERESA ORTIZ |
NPI Number: | 1417007493 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LCSW |
License Number: | 687123 |
Business Practice Address: | 500 Elm Grove Suite 100 Elm Grove, WI - 53122 |
Business Phone Number: | 2627822090 |
Business Fax Number: | 2627822092 |
Mailing Address: | 500 Elm Grove, Suite 100 ELM GROVE |
State: | WI |
Postal Code: | 53122 |
Phone Number: | 2627822090 |
Fax Number: | 2627822092 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 04/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 687123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |