Active NPI
Madeline Velazquez, LMSW
- Clinical Social Worker
- Victor, NY
National Provider Identifier
1730578352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 6539 Anthony Dr Ste a
Victor, NY 14564-1441 - Phone
- (585) 398-8835
- Fax
- (585) 398-7376
- NPI assigned
- Jan 20, 2015
- Last updated
- Jan 27, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 00093823 | NY | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6539 Anthony Dr Ste a
Victor, NY 14564-1441
Mailing address
6539 Anthony Dr Ste a
Victor, NY 14564-1441
Phone (585) 398-8835
Other practice location 1
4600 Millennium Dr
Geneseo, NY 14454-1197
Phone (585) 243-7250
Other practice location 2
755 Jefferson Rd Ste 4A
Rochester, NY 14623-3270
Phone (585) 398-8835
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00093823 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1730578352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6539 ANTHONY DR STE A",
"city": "VICTOR",
"state": "NY",
"postal_code": "145641441",
"telephone_number": "585-398-8835",
"fax_number": "585-398-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6539 ANTHONY DR STE A",
"city": "VICTOR",
"state": "NY",
"postal_code": "145641441",
"telephone_number": "585-398-8835",
"fax_number": "585-398-7376"
}
],
"practiceLocations": [
{
"address_1": "4600 Millennium Dr",
"address_purpose": "LOCATION",
"city": "Geneseo",
"state": "NY",
"postal_code": "144541197",
"country_code": "US",
"telephone_number": "585-243-7250",
"fax_number": "585-243-7264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "755 Jefferson Rd Ste 4A",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146233270",
"country_code": "US",
"telephone_number": "585-398-8835",
"fax_number": "585-398-7376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "MADELINE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-20",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "00093823",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.