Individual provider Active NPI

Veronica Evelyn Velez, LMSW

  • Social Worker
  • Fort Mill, SC
National Provider Identifier
1902792492
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17500 Issued in SC
Practice address
1188 Stonecrest Blvd Ste 110
Fort Mill, SC 29708-6633
Phone
(803) 616-3171
Fax
(803) 310-5183
NPI assigned
Jun 13, 2025
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 17500 SC Primary

Addresses

Primary practice location

1188 Stonecrest Blvd Ste 110
Fort Mill, SC 29708-6633

Mailing address

1188 Stonecrest Blvd Ste 110
Fort Mill, SC 29708-6633
Phone (803) 616-3171

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

LicenseStateTypeSpecialty
17500SCMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1902792492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 STONECREST BLVD STE 110",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086633",
            "telephone_number": "803-616-3171",
            "fax_number": "803-310-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 STONECREST BLVD STE 110",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086633",
            "telephone_number": "803-616-3171",
            "fax_number": "803-310-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "VERONICA",
        "middle_name": "EVELYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "17500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.