MR. FERNANDO EDGARDO BELTRAN JR.
NPI 1164035200
Social Worker - Clinical in Port Jefferson Station, NY

Active since August 28, 2020
425 OLD TOWN RD, PORT JEFFERSON STATION, NY 11776(631) 209-7042 Get Directions Write a Review

NPPES record last updated: October 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2023, Aug 28, 2020 (2 updates tracked since 2020).

About Mr. Fernando Edgardo Beltran Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. FERNANDO EDGARDO BELTRAN JR. (NPI 1164035200) is an individual clinical provider in Port Jefferson Station, New York, licensed in New York (093837-01) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1164035200
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. FERNANDO EDGARDO BELTRAN JR.
Location Address425 OLD TOWN RDPort Jefferson Station, NY 11776-3627
Mailing Address425 Old Town RdPort Jefferson Station, NY 11776-3627 · (631) 209-7042
Sole ProprietorNo
Enumeration DateAugust 28, 2020
Last NPPES UpdateOctober 1, 20232 updates tracked since enumeration
NPPES CertifiedOctober 1, 2023
NPI 1164035200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 093837-01
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 101668-01 (NY)
425 OLD TOWN RD, Port Jefferson Station, NY 11776

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
425 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776
Social Worker
425 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
425 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776
Respite Care
425 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776
Social Worker
425 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776
Social Worker
425 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fernando Beltran's NPI number?

The NPI number for Fernando Beltran is 1164035200. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Fernando Beltran located?

Fernando Beltran practices at 425 Old Town Rd, Port Jefferson Station, NY 11776. The listed phone number is (631) 209-7042.

What is Fernando Beltran's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Fernando Beltran was last updated on October 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.