Active NPI
Nina Elizabeth Velez, LCSW-R, CASAC
- Clinical Social Worker
- Fishkill, NY
National Provider Identifier
1437346392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 070589
- Practice address
- 997 Main St
Fishkill, NY 12524-1790 - Phone
- (845) 202-3539
- Fax
- (845) 889-4321
- NPI assigned
- Sep 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 070589 | NY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6845 | NY |
Addresses
Primary practice location
997 Main St
Fishkill, NY 12524-1790
Mailing address
PO Box 85
Wappingers Falls, NY 12590-0085
Phone (845) 202-3539
Other names 1
- Nina Elizabeth Velez
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6845 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam Family and Community Services Inc | 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Carmel, NY
- NPI 1972458545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1437346392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125900085",
"telephone_number": "845-202-3539",
"fax_number": "845-889-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 MAIN ST",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125241790",
"telephone_number": "845-202-3539",
"fax_number": "845-889-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ",
"first_name": "NINA",
"middle_name": "ELIZABETH",
"credential": "LCSW-R, CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "070589",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "6845",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NINA",
"last_name": "VELEZ",
"middle_name": "ELIZABETH",
"credential": "LCSW-R,CASAC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.