Provider Demographics
NPI:1487204210
Name:VELAS, LAURA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:VELAS
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S MAIN ST STE 213
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4873
Mailing Address - Country:US
Mailing Address - Phone:267-362-9083
Mailing Address - Fax:
Practice Address - Street 1:350 S MAIN ST STE 213
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4873
Practice Address - Country:US
Practice Address - Phone:267-362-9083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-13
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136271104100000X
PACW0230561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker