Provider Demographics
NPI:1750530465
Name:ORTIZ, OLGA VANESSA (MSW)
Entity type:Individual
Prefix:MS
First Name:OLGA
Middle Name:VANESSA
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4280 CALLE REAL
Mailing Address - Street 2:SPACE 15
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1490
Mailing Address - Country:US
Mailing Address - Phone:805-455-3728
Mailing Address - Fax:
Practice Address - Street 1:4280 CALLE REAL
Practice Address - Street 2:SPACE 15
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1490
Practice Address - Country:US
Practice Address - Phone:805-455-3728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner