Provider Demographics
NPI:1457914566
Name:VELEZ, SASHA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SASHA
Middle Name:
Last Name:VELEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 STATE ROAD 544 E
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-8896
Mailing Address - Country:US
Mailing Address - Phone:407-394-5432
Mailing Address - Fax:
Practice Address - Street 1:108 ROBIN RD STE 1010
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5035
Practice Address - Country:US
Practice Address - Phone:407-394-5432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-16
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW163371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical