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

Omar Portillo

Individual provider Clinical Social Worker · NPI 1750132213

Omar Portillo is a Clinical Social Worker in Brentwood, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2 6th Ave
Brentwood, NY 11717-6110
Phone: (631) 434-2204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X · Licence 113784 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 113784 (NY)

Record details

NPI number1750132213
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateMarch 31, 2024

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