Active NPI
Sara Velez
- Clinical Social Worker
- Red Bank, NJ
National Provider Identifier
1558877266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SL05848200
- Practice address
- 312 Shrewsbury Ave Ste 1
Red Bank, NJ 07701-1319 - Phone
- (925) 997-0708
- NPI assigned
- Dec 18, 2017
- Last updated
- Mar 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL05848200 | NJ | Primary |
Addresses
Primary practice location
312 Shrewsbury Ave Ste 1
Red Bank, NJ 07701-1319
Mailing address
312 Shrewsbury Ave Ste 1
Red Bank, NJ 07701-1319
Other practice location 1
211 Broad St
Red Bank, NJ 07701-2009
Phone (925) 997-0708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05848200 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Therapy LLC | Clinical | Current | Accepting new patients |
| Operation Hope | Current | Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Passaic, NJ
- NPI 1285898098
-
- Adult Mental Health Clinic/Center
- Colts Neck, NJ
- NPI 1881213783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1558877266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 SHREWSBURY AVE STE 1",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 SHREWSBURY AVE STE 1",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011319",
"telephone_number": "925-997-0708"
}
],
"practiceLocations": [
{
"address_1": "211 Broad St",
"address_purpose": "LOCATION",
"city": "Red Bank",
"state": "NJ",
"postal_code": "077012009",
"country_code": "US",
"telephone_number": "925-997-0708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELEZ",
"first_name": "SARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL05848200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
- Christina Van Ness, RN
- Jaclyn Vanderbeken, LAC
- Vanessa Marcantuono, PH.D., LLC
- Vijayalaxmi Varadarajan, MD
- Graciela Vasquez
- Velocity Chiropractic & Wellness Center
- Velocity Chiropractic and Wellness Center, L.L.C. (Velocity Physical Therapy)
- Candace Vengersky
- Nancy Lee Ventrone, APN-BC
- Michael D Very
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.