Individual provider Active NPI

Alexandro Herman Velez

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1396282984
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-944 Issued in NV
Practice address
6787 W Tropicana Ave
Suite 120a
Las Vegas, NV 89103-4757
Phone
(702) 659-8827
NPI assigned
Jan 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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 6938-S NV
Clinical Social Worker 1041C0700X IC-944 NV Primary

Addresses

Primary practice location

6787 W Tropicana Ave
Suite 120a
Las Vegas, NV 89103-4757

Mailing address

6787 W Tropicana Ave
Suite 120a
Las Vegas, NV 89103-4757
Phone (702) 659-8827

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
6938-SNVMDSocial Worker
IC-944NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nueva Vida Mental Health LLC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1396282984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6787 W TROPICANA AVE",
            "address_2": "SUITE 120A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034757",
            "telephone_number": "702-659-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6787 W TROPICANA AVE",
            "address_2": "SUITE 120A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034757",
            "telephone_number": "702-659-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "ALEXANDRO",
        "middle_name": "HERMAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "6938-S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.