IndividualActive
Omar Portillo
NPI 1750132213 · School Social Worker · Brentwood, NY
Provider details
- NPI number
- 1750132213
- Entity type
- Individual
- Primary specialty
- School Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 113784 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2 6th Ave
Brentwood, NY 11717-6110
Phone: (631) 434-2204
Approximate (ZIP-level) locationGet directions
Mailing address
116 Waverly Ave Apt 4
Patchogue, NY 11772-2186
Registry dates
- Enumerated
- 2024-04-01
- Last updated
- 2024-04-01
- Certified
- 2024-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.