Active NPIIndividual providerSole proprietor

Jorge Becerra

Social Worker, Clinical in Park Ridge, New Jersey

NPI Number1205225877
Practice location
114 Kinderkamack RD, Park Ridge, NJ 07656-2126
Fax
201-391-9516
Last updated
January 20, 2015

Jorge Becerra is a Social Worker, Clinical based in Park Ridge, NJ. Jorge Becerra practices in Park Ridge, NJ. The NPI Number for Jorge Becerra is 1205225877 and holds a License No. 44sl05180300 (NJ). The current practice location address for Jorge Becerra is 114 Kinderkamack RD, Park Ridge, NJ 07656-2126 and can be reached out via phone at 201-391-1355 and via fax at 201-391-9516.

Provider Profile Details

NPI Number
1205225877
Provider Name
Jorge Becerra
Provider Entity Type
Individual
Gender
Male
Address
114 Kinderkamack RD, Park Ridge, NJ 07656-2126
Phone Number
201-391-1355
Fax Number
201-391-9516
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 20, 2015
Last Update Date
January 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Kinderkamack RD
Park Ridge, NJ 07656-2126
Zip
07656-2126
Phone Number
201-391-1355
Fax Number
201-391-9516
Park Ridge, NJ 07656Get directions →

Provider Business Mailing Address Details

Address
114 Kinderkamack RD
P.o. Box#126
Park Ridge, NJ 07656-2126
City
Park Ridge
State
NJ
Zip
07656-2126
Phone Number
201-391-1355
Fax Number
201-391-9516

License Information

License Number
44sl05180300
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jorge Becerra?

The NPI number of Jorge Becerra is 1205225877. It was assigned on January 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Jorge Becerra?

Jorge Becerra is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44sl05180300.

Where does Jorge Becerra practice?

The practice location is 114 Kinderkamack RD, Park Ridge, NJ 07656-2126. The office can be reached at 201-391-1355 (phone) or 201-391-9516 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205225877 directly on the NPPES registry website.

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