Verna Dianne Velazquez, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

149014865 Issued in IL

Practice address

5630 Hillcrest Rd
Downers Grove, IL 60516

Phone

(630) 963-3830

Fax

(630) 963-3830

NPI assigned

Oct 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1992080642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 HILLCREST RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161249",
            "telephone_number": "630-963-3830",
            "fax_number": "630-963-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 HILLCREST RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60516",
            "telephone_number": "630-963-3830",
            "fax_number": "630-963-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "VERNA",
        "middle_name": "DIANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.014865",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149014865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Vasiljevic, LCPC
• Timothy Vazquez, PA
• Tina Kathaleen Veale, PH.D., CCC-SLP
• Philip Vedova
• Joshua Velarde, DPT
• Mary Velicheti
• Doreen Ventura, M.D.
• Nicole Venute, OTR/L
• Jennifer Vergara, LCSW
• Lori Dee Vernor, DC

• Social Worker in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.