Ms Leslie Suzanne Ortiz Montenegro, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669998209.
Healthcare Provider's Profile
Full Name | Ms Leslie Suzanne Ortiz Montenegro |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2735 Alsace Ave, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922675644 PECOS PAC ID: 4981080769 Enrollment ID: O20220930002640 |
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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 |
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