Leticia De la Roca-Velez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-011331 Issued in IL

Practice address

3229-43 W. 47TH Place
Chicago, IL 60632

Phone

(773) 254-6044

Fax

(773) 254-6115

NPI assigned

Oct 24, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1598844268
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1790868321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W. FULTON STREET",
            "address_2": "200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60661",
            "telephone_number": "773-526-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229-43 W. 47TH PLACE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60632",
            "telephone_number": "773-254-6044",
            "fax_number": "773-254-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROCA-VELEZ",
        "first_name": "LETICIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-011331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790868321",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose De la Guerra, DMD
• Deborah De la Haye, RN
• De la Luz Laboratory LLC
• Emely De la O, PSY.D.
• Ivan De la Riva Morales, M.D.
• Jennifer De la Rosa
• Julian Xavier De la Rosa, DPT
• Vernalynne Evano De la Rosa, LMFT
• Nicholas Marcel De la Rua, MD
• Amy Bibiana De la Torre, MD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.