Individual provider · Type 1 NPI

Omar Portillo

School Social Worker · Brentwood, NY

NPI number 1750132213 Active

Practice location

2 6th Ave
Brentwood, NY 11717-6110

Call (631) 434-2204 Map

Mailing address

116 Waverly Ave Apt 4
Patchogue, NY 11772-2186

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X113784 (NY)
School Social Worker Primary 1041S0200X113784 (NY)

School Social Worker: Definition to come...

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About NPI 1750132213

Omar Portillo's National Provider Identifier is 1750132213, issued on Apr 1, 2024. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Brentwood, NY. The record was last updated on Apr 1, 2024.