Provider Demographics
NPI:1164310850
Name:VELEZ RODRIGUEZ, JULIO ANGEL (LMSW)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:ANGEL
Last Name:VELEZ RODRIGUEZ
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 32ND ST
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-3231
Mailing Address - Country:US
Mailing Address - Phone:631-226-0248
Mailing Address - Fax:
Practice Address - Street 1:336 32ND ST
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-3231
Practice Address - Country:US
Practice Address - Phone:631-226-0248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120858-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker