Ms Leslie Suzanne Ortiz Montenegro, MSW, LCSW in Los Angeles, CA - Medicare Clinical Social Worker Provider

Ms Leslie Suzanne Ortiz Montenegro, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. She graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 2735 Alsace Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 986-4876.

Ms Leslie Suzanne Ortiz Montenegro is licensed to practice in California (license number 125251) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1669998209.

Contact Information

	Ms Leslie Suzanne Ortiz Montenegro, MSW, LCSW
	2735 Alsace Ave, Los Angeles, CA 90016-2707
	(310) 986-4876
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Leslie Suzanne Ortiz Montenegro
Gender	Female
Speciality	Clinical Social Worker
Experience	9 Years
Location	2735 Alsace Ave, Los Angeles, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Leslie Suzanne Ortiz Montenegro graduated from medical school in 2017

NPI Data:

NPI Number: 1669998209
Provider Enumeration Date: 08/15/2017
Last Update Date: 04/18/2025

Medicare PECOS Information:

PECOS PAC ID: 6800325978
Enrollment ID: I20250120000646

Medical Identifiers

Medical identifiers for Ms Leslie Suzanne Ortiz Montenegro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669998209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	78793 (California)	Secondary
1041C0700X	Social Worker - Clinical	78793 (California)	Secondary
1041C0700X	Social Worker - Clinical	117871 (California)	Secondary
1041C0700X	Social Worker - Clinical	125251 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Leslie Suzanne Ortiz Montenegro allows following entities to bill medicare on her behalf.

Entity Name	Mood Clinical, P. C.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922675644 PECOS PAC ID: 4981080769 Enrollment ID: O20220930002640

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Leslie Suzanne Ortiz Montenegro is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Leslie Suzanne Ortiz Montenegro, MSW, LCSW 2735 Alsace Ave, Los Angeles, CA 90016-2707 Ph: (310) 986-4876	Ms Leslie Suzanne Ortiz Montenegro, MSW, LCSW 2735 Alsace Ave, Los Angeles, CA 90016-2707 Ph: (310) 986-4876

Ms Leslie Suzanne Ortiz Montenegro, MSW, LCSW - Medicare Counselor in Los Angeles, CA