Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Fernando Edgardo Beltran Jr.

Individual provider Social Worker · NPI 1164035200

Mr. Fernando Edgardo Beltran Jr. is a Social Worker in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
Specialties on file
2

Practice location Address checks out

425 Old Town Rd
Port Jefferson Station, NY 11776-3627
Phone: (631) 209-7042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 093837-01 (NY)
Social Worker Taxonomy 104100000X · Licence 101668-01 (NY)

Record details

NPI number1164035200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESOctober 1, 2023
Certification dateOctober 1, 2023

Other providers in Port Jefferson Station