Healthcare Provider Details

I. General information

NPI: 1811876386
Provider Name (Legal Business Name): LAUREN VELEZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 N ST STE 16365
SACRAMENTO CA
95816-5712
US

IV. Provider business mailing address

2108 N ST STE 16365
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 626-621-9545
  • Fax:
Mailing address:
  • Phone: 626-621-9545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number129526
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: