Ortiz, Cecilia Teresa

Ortiz, Cecilia Teresa is an individual health care provider with primary practice located at 10150 W National Ave Ste 370, West Allis WI 53227-2152. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ortiz, Cecilia Teresa can be contacted via phone (262) 782-2090.

Contact Information

Primary practice address
10150 W National Ave Ste 370 West Allis WI 53227-2152
Fax: (262) 782-2092
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 687123 Wisconsin

Profile Details

NPI number 1417007493
LBN Legal business name Ortiz, Cecilia Teresa
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Mar 22nd, 2018 - about 6 years 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 1417007493 NPPES
Wisconsin MEDICAID 40941100

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