Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Ortiz, LCSW

Individual provider Clinical Social Worker · NPI 1104531078

Grace Ortiz, LCSW is a Clinical Social Worker in Maryville, Illinois. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2801 Keebler Rd
Maryville, IL 62062-6866
Phone: (217) 836-2395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 108100 (TX)

Record details

NPI number1104531078
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 16, 2023
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing address2801 Keebler Rd, Maryville, IL 62062-6866

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