Active NPI
Meredith Suzanne Velasquez, LCSW
- Clinical Social Worker
- Centennial, CO
National Provider Identifier
1730567405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9924853
- Practice address
- 9700 E Easter LN
Centennial, CO 80112-1136 - Phone
- (720) 213-1324
- Fax
- (720) 213-1324
- NPI assigned
- May 13, 2015
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 897 | CO | |
| Clinical Social Worker | 1041C0700X | 9924853 | CO | Primary |
Addresses
Primary practice location
9700 E Easter LN
Centennial, CO 80112-1136
Mailing address
9700 E Easter LN
Centennial, CO 80112-1136
Phone (720) 213-1320
Other practice location 1
155 Inverness Dr W
Suite 200
Englewood, CO 80112-5095
Phone (303) 779-9676
Other names 1
- Meredith Suzanne Slocum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
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.
-
- Clinical Social Worker
- Denver, CO
- NPI 1760854442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1730567405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 E EASTER LN",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121136",
"telephone_number": "720-213-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 E EASTER LN",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121136",
"telephone_number": "720-213-1324",
"fax_number": "720-213-1324"
}
],
"practiceLocations": [
{
"address_1": "155 Inverness Dr W",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "CO",
"postal_code": "801125095",
"country_code": "US",
"telephone_number": "303-779-9676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELASQUEZ",
"first_name": "MEREDITH",
"middle_name": "SUZANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-13",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "897",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "9924853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEREDITH",
"last_name": "SLOCUM",
"middle_name": "SUZANNE",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Centennial, CO
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.