Active NPI
Monique Maria Velazquez, LCSW
- Social Worker
- Los Angeles, CA
National Provider Identifier
1750835369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 106290
- Practice address
- 1505 N Edgemont St FL 1
Los Angeles, CA 90027-5209 - Phone
- (323) 783-4371
- NPI assigned
- Aug 11, 2016
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | 106290 | CA | Primary |
Addresses
Primary practice location
1505 N Edgemont St FL 1
Los Angeles, CA 90027-5209
Mailing address
8405 Hollywood Blvd
Los Angeles, CA 90069-1535
Phone (323) 337-1710
Other names 1
- Monique Maria Caudillo
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 |
|---|---|---|---|
| 106290 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1750835369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8405 HOLLYWOOD BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900691535",
"telephone_number": "323-337-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 N EDGEMONT ST FL 1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275209",
"telephone_number": "323-783-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "MONIQUE",
"middle_name": "MARIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "106290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONIQUE",
"last_name": "CAUDILLO",
"middle_name": "MARIA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.