Individual provider Active NPI

Ivelise Velez, LCSW

  • Clinical Social Worker
  • Hackensack, NJ
National Provider Identifier
1679816722
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05537500 Issued in NJ
Practice address
560 Hudson St
3-2
Hackensack, NJ 07601-6655
Phone
(201) 208-8089
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05537500 NJ Primary

Addresses

Primary practice location

560 Hudson St
3-2
Hackensack, NJ 07601-6655

Mailing address

582 Hudson St
Hackensack, NJ 07601-6608
Phone (201) 208-8089

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226000443 NJ Practitioner - Clinical Social Worker 7719282938 Practice locations: Hackensack, NJ; Hewitt, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Rumson CT
Hewitt, NJ 07421-1620
Phone (201) 208-8089

560 Hudson St
Suite 3 2
Hackensack, NJ 07601-6638
Phone (201) 208-8089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05537500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ivelise Velez Corporation PastSince Jan 23, 2016 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1679816722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 HUDSON ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016608",
            "telephone_number": "201-208-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 HUDSON ST",
            "address_2": "3-2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016655",
            "telephone_number": "201-208-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "IVELISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05537500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.