Individual provider Active NPI

Gladys Norys Baez-Perez, LCSW

  • Clinical Social Worker
  • Conroe, TX
National Provider Identifier
1023031754
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 5902 Issued in FL
Practice address
2017 N Frazier St
F-1
Conroe, TX 77301-1233
Phone
(936) 703-5246
Fax
(936) 549-2100
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26752 TX
Social Worker 104100000X 3550 PR
Clinical Social Worker 1041C0700X SW 5902 FL Primary

Addresses

Primary practice location

2017 N Frazier St
F-1
Conroe, TX 77301-1233

Mailing address

PO Box 7723
Spring, TX 77387-7723
Phone (832) 816-7817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3550PRMDSocial Worker
26752TXMDSocial Worker
SW 5902FLMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1023031754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7723",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773877723",
            "telephone_number": "832-816-7817",
            "fax_number": "936-549-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 N FRAZIER ST",
            "address_2": "F-1",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011233",
            "telephone_number": "936-703-5246",
            "fax_number": "936-549-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ-PEREZ",
        "first_name": "GLADYS",
        "middle_name": "NORYS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "26752",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "3550",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.