Individual provider Active NPI

Diane Marie Velasquez-Peralta, LCSW, LMSW

  • Clinical Social Worker
  • Lenexa, KS
National Provider Identifier
1215804356
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22877 Issued in AZ
Practice address
15512 W 113TH St # D119
Lenexa, KS 66219-5100
Phone
(816) 816-4700
NPI assigned
Oct 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7833 KS
Social Worker 104100000X 2019027239 MO
Clinical Social Worker 1041C0700X LCSW-22877 AZ Primary

Addresses

Primary practice location

15512 W 113TH St # D119
Lenexa, KS 66219-5100

Mailing address

15512 W 113TH St # D119
Lenexa, KS 66219-5100
Phone (816) 816-4700

Other practice location 1

4801 E Linwood Blvd
Kansas City, MO 64128-2226
Phone (816) 861-4700 ext. 54950

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

State licenses

LicenseStateTypeSpecialty
7833KSMDSocial Worker
2019027239MOMDSocial Worker
LCSW-22877AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1215804356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15512 W 113TH ST # D119",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662195100",
            "telephone_number": "816-816-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15512 W 113TH ST # D119",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662195100",
            "telephone_number": "816-816-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 E Linwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641282226",
            "country_code": "US",
            "telephone_number": "816-861-4700 x54950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASQUEZ-PERALTA",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "LCSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7833",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2019027239",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.