Provider Demographics
NPI:1447023932
Name:VELEZ HERNANDEZ, RUBEN (LCSW)
Entity type:Individual
Prefix:
First Name:RUBEN
Middle Name:
Last Name:VELEZ HERNANDEZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5923 HIDDEN PALMS DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-2240
Mailing Address - Country:US
Mailing Address - Phone:915-216-3150
Mailing Address - Fax:
Practice Address - Street 1:5932 HIDDEN PALMS DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-2240
Practice Address - Country:US
Practice Address - Phone:915-216-3150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX668181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical