Active NPI
Pedro Velazquez, MASTER SOCIAL WORKER
- Clinical Social Worker
- New Britain, CT
National Provider Identifier
1104645241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 370 Linwood St # 1949
New Britain, CT 06052-1998 - Phone
- (860) 224-9113
- NPI assigned
- Oct 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
370 Linwood St # 1949
New Britain, CT 06052-1998
Mailing address
31 Bannister St
Hartford, CT 06106-3509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1104645241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 BANNISTER ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 LINWOOD ST # 1949",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060521998",
"telephone_number": "860-224-9113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "PEDRO",
"credential": "MASTER SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.