Colleen T Velasco, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW66452 Issued in CA

Practice address

17800 Woodruff Ave
Bellflower, CA 90706-7079

Phone

(562) 866-8956

Fax

(562) 461-2893

NPI assigned

Sep 8, 2016

Last updated

Sep 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Colleen Thacker Velasco Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Logos Services LLCGroup PAC ID 3476804519, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Logos Services LLC

  • Community/Behavioral Health Agency
  • Keller, TX
  • NPI 1881852952
  Medicare reassignment Care Compare group NPD
• Olive Crest

  • Community/Behavioral Health Agency
  • Bellflower, CA
  • NPI 1265569057
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1700333572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17800 WOODRUFF AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907067079",
            "telephone_number": "562-866-8956",
            "fax_number": "562-461-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 WOODRUFF AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907067079",
            "telephone_number": "562-866-8956",
            "fax_number": "562-461-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "COLLEEN",
        "middle_name": "T",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW66452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "VELASCO",
            "middle_name": "THACKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebekah Ann Vanderzee, LCSW
• Laura Lynn Vasquez, RD
• Vathany Chou (Pro-Beneficial Group)
• Melissa Vaughn
• Jessica Mabel Vazquez, PTA
• Priscilla Velasco, RCP, RRT, RPSGT
• Roberto U. Velasco, MD
• Yezenia Alicia Velazco-Yasuda, FNP-C
• Jennifer Elizabeth Veliz
• Sophia Velonza

• Clinical Social Worker in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.