Individual provider · Type 1 NPI

Suzanne L. Velazquez, PhD, L.C.S.W.

Clinical Social Worker · Bay Shore, NY

NPI number 1992021604 Active

Practice location

83 E Main St
Bay Shore, NY 11706-8305

Call (631) 666-5067 Map

Mailing address

208 E Broadway
Port Jefferson, NY 11777-1246

Other practice locations

  • 208 E Broadway, Port Jefferson, NY 11777-1246 · (631) 431-3675

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X083415 (NY)
Social Worker 104100000X077805 (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 1992021604

Suzanne L. Velazquez, PhD, L.C.S.W.'s National Provider Identifier is 1992021604, issued on Apr 20, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bay Shore, NY. The record was last updated on Dec 15, 2021.