Leslie Suzanne Ortiz Montenegro, MSW, LCSW
Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1669998209
StatusActive
Last updated in NPPESApr 18, 2025
Details
- NPI
- 1669998209
- Entity type
- Individual (NPI-1)
- Name
- Ms. Leslie Suzanne Ortiz Montenegro
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2017
- Certification date
- Apr 18, 2025
- Last updated
- Apr 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 125251 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 78793 | CA | |
| 1041C0700X | Social Worker, Clinical | 78793 | CA | |
| 1041C0700X | Social Worker, Clinical | 117871 | CA |
Practice location
2735 Alsace AveLos Angeles, CA 90016-2707
Phone 310-986-4876
Mailing address
2735 Alsace AveLos Angeles, CA 90016-2707
Phone 310-986-4876
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