Provider Demographics
NPI:1598457871
Name:CASTILLO VELEZ, ELIANNA MARIA (LMSW)
Entity Type:Individual
Prefix:
First Name:ELIANNA
Middle Name:MARIA
Last Name:CASTILLO 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 1:280 SADDLE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-4619
Mailing Address - Country:US
Mailing Address - Phone:917-859-3374
Mailing Address - Fax:
Practice Address - Street 1:280 SADDLE RIVER RD
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-4619
Practice Address - Country:US
Practice Address - Phone:917-859-3374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY119582104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker