Ortega, Juan Carlos

Ortega, Juan Carlos is an individual health care provider with primary practice located at 9131 Queens Blvd Suite 618, Elmhurst NY 11373-5501. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ortega, Juan Carlos can be contacted via phone (718) 275-0983.

Contact Information

Primary practice address
9131 Queens Blvd Suite 618 Elmhurst NY 11373-5501
Phone: (718) 275-0983
Fax: (718) 275-7973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 077392 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 069871 New York

Profile Details

NPI number 1447380225
LBN Legal business name Ortega, Juan Carlos
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated May 13th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447380225 NPPES
New York Other 136167177 FIDELIS NUMBER

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