Provider Demographics
NPI:1386660116
Name:BELMONTE, JUAN C (LCSW)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:C
Last Name:BELMONTE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 NEW RD STE 405
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1283
Mailing Address - Country:US
Mailing Address - Phone:609-234-0651
Mailing Address - Fax:609-377-8120
Practice Address - Street 1:222 NEW RD STE 405
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1283
Practice Address - Country:US
Practice Address - Phone:609-234-0651
Practice Address - Fax:609-377-8120
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045897001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ02804CB8Medicare PIN
S45796Medicare UPIN