Provider Demographics
NPI:1497277941
Name:MOREL, JUAN CARLOS JR (MSW)
Entity Type:Individual
Prefix:MR
First Name:JUAN
Middle Name:CARLOS
Last Name:MOREL
Suffix:JR
Gender:M
Credentials:MSW
Other - Prefix:MR
Other - First Name:JUAN
Other - Middle Name:CARLOS
Other - Last Name:MOREL
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:312 65TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-2312
Mailing Address - Country:US
Mailing Address - Phone:201-688-9841
Mailing Address - Fax:
Practice Address - Street 1:2940 GRAND CONCOURSE # 1DE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-2611
Practice Address - Country:US
Practice Address - Phone:347-577-5844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-15
Last Update Date:2017-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical