Provider Demographics
NPI:1073379673
Name:VELAPATINO, KARLA J
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:J
Last Name:VELAPATINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 KINGS WAY UNIT 1004A
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-9036
Mailing Address - Country:US
Mailing Address - Phone:781-330-4910
Mailing Address - Fax:
Practice Address - Street 1:250 SOUTH ST
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-2707
Practice Address - Country:US
Practice Address - Phone:781-314-5620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical