Individual provider · Type 1 NPI

Mayra Agosto Ortega, LCSW

Clinical Social Worker · Guaynabo, PR

NPI number 1003512617 Active

Practice location

Centro Internacional De Mercadeo Torre 1 Suite 401
Guaynabo, PR 00965

Mailing address

421 Calle Rivadavia Valencia
San Juan, PR 00923

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15001 (PR)

Clinical Social Worker: 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 interpers…

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About NPI 1003512617

Mayra Agosto Ortega, LCSW's National Provider Identifier is 1003512617, issued on Feb 6, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Guaynabo, PR. The record was last updated on Aug 24, 2026.