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1730854803 NPI number — A'LEXUS M VELASQUEZ LCSW

NPI Number: 1730854803
Health Care Provider/Practitioner: A'LEXUS M VELASQUEZ LCSW

Information about “1730854803” NPI (A'LEXUS M VELASQUEZ LCSW) exists in 1730854803 in HTML format HTML  |  1730854803 in plain Text format TXT  |  1730854803 in PDF (Portable Document Format) PDF  |  1730854803 in an XML format XML  formats.

NPI Number : 1730854803 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730854803",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VELASQUEZ",
    "FirstName": "A'LEXUS",
    "MiddleName": "M",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEE/VELASQUEZ",
    "OtherFirstName": "LEX",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "3146 TERRY BROOK DR APT 1505",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTER PARK",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32792-5320",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-580-6236",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13800 VETERANS WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32827-7401",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-631-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/11/2021",
    "LastUpdateDate": "02/28/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "SW22116",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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