Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Suzanne L Velazquez, PHD, LCSW

Individual provider Clinical Social Worker · NPI 1992021604

Dr. Suzanne L Velazquez, PHD, LCSW is a Clinical Social Worker in Bay Shore, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

83 E Main St
Bay Shore, NY 11706-8305
Phone: (631) 666-5067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 208 E Broadway, Port Jefferson, NY 11777-1246 — (631) 431-3675

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 083415 (NY)
Social Worker Taxonomy 104100000X · Licence 077805 (NY)

Record details

NPI number1992021604
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCSW
Sole proprietorNo
NPI enumeratedApril 20, 2010
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021

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