Individual provider Active NPI

Jillian G Velekkakan, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1104337161
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085721-1 Issued in NY
Practice address
20 Arcampus Dr
Rochester, NY 14612-3630
Phone
(585) 225-9720
Fax
(585) 225-6898
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085721-1 NY Primary

Addresses

Primary practice location

20 Arcampus Dr
Rochester, NY 14612-3630

Mailing address

4 Flint Lock Cir
Rochester, NY 14624-4911
Phone (585) 225-9720

Other names 1

  • Jillian G Appleton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422000846 NY Practitioner - Clinical Social Worker 3678098746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085721-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Villa of Hope CurrentSince Apr 7, 2025 Accepting new patients
Life Solutions Psychotherapy LCSW PLLC Clinical PastSince Nov 23, 2014 Accepting new patients

Locations

3300 Dewey Ave
Rochester, NY 14616
Phone (585) 865-1550

247 N Goodman St
Rochester, NY 14607
Phone (585) 627-5892

Organizations & group practices 2

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": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1104337161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FLINT LOCK CIR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146244911",
            "telephone_number": "585-225-9720",
            "fax_number": "585-225-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ARCAMPUS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123630",
            "telephone_number": "585-225-9720",
            "fax_number": "585-225-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEKKAKAN",
        "first_name": "JILLIAN",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085721-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "APPLETON",
            "middle_name": "G",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.