Individual
DIANE MARIE VELASQUEZ-PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMSW
Contact information
Practice address
15512 W 113TH ST # D119, LENEXA, KS 66219-5100
(816) 816-4700
Mailing address
15512 W 113TH ST # D119, LENEXA, KS 66219-5100
(816) 816-4700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2019027239
MO
104100000X
Social Worker
7833
KS
1041C0700X
Clinical Social Worker
Primary
LCSW-22877
AZ
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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