Individual provider · Type 1 NPI

Michael Velasquez, LCSW

Clinical Social Worker · Medford, OR

NPI number 1144786013 Active

Practice location

200 Beatty St
Medford, OR 97501-5811

Call (541) 476-2373 Map

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Other practice locations

  • 1215 SW G St, Grants Pass, OR 97526-2544 · (541) 476-2373

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL18769 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1144786013

Michael Velasquez, LCSW's National Provider Identifier is 1144786013, issued on Feb 15, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on Sep 28, 2026.