Individual provider Active NPI

Christopher Paul Beltran, LCSW

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1366060212
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924281 Issued in CO
Practice address
5825 Mark Twain LN
Pueblo, CO 81008-9712
Phone
(719) 369-5917
NPI assigned
Jul 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09924281 CO Primary

Addresses

Primary practice location

5825 Mark Twain LN
Pueblo, CO 81008-9712

Mailing address

5825 Mark Twain LN
Pueblo, CO 81008-9712
Phone (719) 369-5917

Other practice location 1

4776 Eagleridge Cir Dept Of
Pueblo, CO 81008-2189
Phone (719) 369-5917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09924281COMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1366060212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 MARK TWAIN LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810089712",
            "telephone_number": "719-369-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 MARK TWAIN LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810089712",
            "telephone_number": "719-369-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4776 Eagleridge Cir Dept Of",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810082189",
            "country_code": "US",
            "telephone_number": "719-369-5917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELTRAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.