Individual provider · Type 1 NPI

Fernando Edgardo Beltran Jr.

Clinical Social Worker · Port Jefferson Station, NY

NPI number 1164035200 Active

Practice location

425 Old Town Rd
Port Jefferson Station, NY 11776-3627

Call (631) 209-7042 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X101668-01 (NY)
Clinical Social Worker Primary 1041C0700X093837-01 (NY)

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 1164035200

Fernando Edgardo Beltran Jr.'s National Provider Identifier is 1164035200, issued on Aug 28, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 1, 2023.