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

Mr. Juan R Ceron

Individual provider Mental Health Counselor · NPI 1093087587

Mr. Juan R Ceron is a Clinical Social Worker in Brooklyn, New York. Qualified in 2009, 17 years ago. Practices with Interborough Developmental and Consultation Center Inc, a 152-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone: (718) 375-1200
Fax: (718) 382-3358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 084182-1 (NY)

Record details

NPI number1093087587
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 31, 2012
Last updated in NPPESJanuary 31, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Interborough Developmental And Consultation Center Inc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Brooklyn