Provider Demographics
NPI:1215724943
Name:ORTEGA, ZUNI ABIGAIL (LCSW)
Entity type:Individual
Prefix:
First Name:ZUNI
Middle Name:ABIGAIL
Last Name:ORTEGA
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:ZUNI
Other - Middle Name:ABIGAIL
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12202 JACOBS POND
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5503
Mailing Address - Country:US
Mailing Address - Phone:956-560-1497
Mailing Address - Fax:
Practice Address - Street 1:12770 COIT RD STE 1260
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-1357
Practice Address - Country:US
Practice Address - Phone:214-620-0081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1056451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical