Provider Demographics
NPI:1073812988
Name:VELEZ, VANESSA (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:
Last Name:VELEZ
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 1:3555 OLINVILLE AVE
Mailing Address - Street 2:#2D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-5534
Mailing Address - Country:US
Mailing Address - Phone:718-710-6133
Mailing Address - Fax:
Practice Address - Street 1:2250 HOLLAND AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-9402
Practice Address - Country:US
Practice Address - Phone:718-798-7801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0832681104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker