Provider Demographics
NPI:1497238059
Name:VELEZ, DAVID (MSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:VELEZ
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 LEMBECK AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-4894
Mailing Address - Country:US
Mailing Address - Phone:201-993-2776
Mailing Address - Fax:
Practice Address - Street 1:354 LEMBECK AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-4894
Practice Address - Country:US
Practice Address - Phone:201-993-2776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty