Michael Velasquez, LCSW
Social Worker, Clinical in Medford, OR. Individual provider (NPI-1).
NPI number1144786013
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1144786013
- Entity type
- Individual (NPI-1)
- Name
- Michael Velasquez
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2019
- Certification date
- Sep 28, 2026
- Last updated
- Sep 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L18769 | OR | Yes |
Practice location
200 Beatty StMedford, OR 97501-5811
Phone 541-476-2373
Mailing address
1215 Sw G StGrants Pass, OR 97526-2544
Phone 541-476-2373
Other practice locations
1215 Sw G St
Grants Pass, OR 97526-2544
Grants Pass, OR 97526-2544
Phone 541-476-2373
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