Individual provider · Type 1 NPI

Luis Antonio Velasquez, SOCIAL WORKER

Clinical Social Worker · Fort Drum, NY

NPI number 1740046846 Active

Practice location

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603

Mailing address

22465 Duffy Rd
Watertown, NY 13601-1766

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X119408-01 (NY)

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 1740046846

Luis Antonio Velasquez, SOCIAL WORKER's National Provider Identifier is 1740046846, issued on Feb 26, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Drum, NY. The record was last updated on Feb 26, 2024.