MEDICARE: HEIOMY BELTRAN-BROOKS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	66185	TX
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1972228773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIOMY BELTRAN-BROOKS LCSW

Provider Business Mailing Address
First Line	:	120 9TH ST APT 1406
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-2036
Country	:	US
Telephone Number	:	251-421-6004
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 BROAD ROCK BLVD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23249-1267
Country	:	US
Telephone Number	:	804-675-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2022
Last Update Date	:	02/26/2025

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