Provider Demographics
NPI:1972228773
Name:BELTRAN-NEGRON, HEIOMY (LMSW)
Entity Type:Individual
Prefix:
First Name:HEIOMY
Middle Name:
Last Name:BELTRAN-NEGRON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 9TH ST APT 1406
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-2036
Mailing Address - Country:US
Mailing Address - Phone:251-421-6004
Mailing Address - Fax:
Practice Address - Street 1:50 BRIGGS ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1267
Practice Address - Country:US
Practice Address - Phone:210-921-0184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66185104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker