Individual provider Active NPI

Brenda M. Veilleux, LCSW-R

  • Clinical Social Worker
  • Seneca Falls, NY
National Provider Identifier
1023196383
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
12 North Park Street 2ND FL.
Seneca Falls, NY 13148-1347
Phone
(315) 568-9412
Fax
(315) 568-6718
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0748171 NY
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

12 North Park Street 2ND FL.
Seneca Falls, NY 13148-1347

Mailing address

12 North Park Street, Seneca Falls, Ny 3148
Seneca Falls, NY 13148
Phone (315) 568-9412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0748171NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Human Technologies Past Accepting new patients
Seneca Ontario Community Service PastSince Oct 6, 2024 Accepting new patients
Human Technologies Past Accepting new patients
Elmira Psychiatric Center PastSince Nov 10, 2024 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1023196383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NORTH PARK STREET, SENECA FALLS, NY 3148",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "13148",
            "telephone_number": "315-568-9412",
            "fax_number": "315-568-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NORTH PARK STREET 2ND FL.",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481347",
            "telephone_number": "315-568-9412",
            "fax_number": "315-568-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEILLEUX",
        "first_name": "BRENDA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0748171",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca Falls, NY

Sources for this page

Verify at the official NPI Registry.