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ALICE ORTIZ
NPI 1114708047
Social Worker - Clinical in Hialeah, FL

Active since October 06, 2023PECOS EnrolledAccepts Medicare Assignment
3700 W 6TH CT, HIALEAH, FL 33012(305) 988-6976 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 19, 2025, Oct 6, 2023 (2 updates tracked since 2023).

About Alice Ortiz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE ORTIZ (NPI 1114708047) is an individual clinical provider in Hialeah, Florida, licensed in Florida (SW22090) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114708047
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALICE ORTIZ
Location Address3700 W 6TH CTHialeah, FL 33012-4213
Mailing Address3700 W 6th CtHialeah, FL 33012-4213 · (305) 988-6976
Phone(305) 988-6976
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 6, 2023
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1114708047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW22090
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3700 W 6TH CT, Hialeah, FL 33012
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Secondary Practice Location 1

Location 19350 Sunset Dr Ste 151Miami, FL 33173-3286 · Phone (786) 548-1022

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alice Ortiz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567818701
PECOS Enrollment IDI20231025000887
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Alice Ortiz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dade Family Counseling Community Mental Health Center, Inc
11 mi
Community/Behavioral Health
9350 SUNSET DR STE 151
Miami, FL 33173
  • Reassigned Medicare billing, Florida enrollment
  • 50 clinicians in this Medicare group
NPI 1427055417 (786) 548-1022
A & B Counseling Services LLC
15 mi
Adult Mental Health
3356 LAUREL OAK ST
Fort Lauderdale, FL 33312
  • Reassigned Medicare billing, Florida enrollment
  • 119 clinicians in this Medicare group
NPI 1508327628 (305) 608-9534

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.92 – $187.05
Typical copayment $0.00 (range $15.23 – $46.76)
Most-billed visit code NA
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Ortiz's NPI number?

The NPI number for Alice Ortiz is 1114708047. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Where is Alice Ortiz located?

Alice Ortiz practices at 3700 W 6th Ct, Hialeah, FL 33012. The listed phone number is (305) 988-6976.

What is Alice Ortiz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Alice Ortiz enrolled in Medicare?

Yes. Alice Ortiz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alice Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Ortiz reassigns Medicare benefits to 2 organizations: Dade Family Counseling Community Mental Health Center, Inc (Miami, FL) and A & B Counseling Services LLC (Fort Lauderdale, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alice Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alice Ortiz accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Alice Ortiz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alice Ortiz was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.