Priscilla Marie Peraza, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW97957 Issued in CA

Practice address

5628 E Slauson Ave
Commerce, CA 90040-2922

Phone

(323) 480-9242

Fax

(323) 832-9224

NPI assigned

Apr 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1033475231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5628 E SLAUSON AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402922",
            "telephone_number": "323-480-9242",
            "fax_number": "323-832-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5628 E SLAUSON AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402922",
            "telephone_number": "323-480-9242",
            "fax_number": "323-832-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAZA",
        "first_name": "PRISCILLA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW97957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Penaloza, B.A.
• Penny Lane
• Penny Lane
• Penny Lane Centers
• Cedric Peoples
• Ines Perea
• Maribel Perez-Silva, ASW
• Adolfo Cesar Perez
• Angelica Maria Perez, PHARM.D.
• Erika M Perez, BA

• Clinical Social Worker in Commerce, CA
• Providers in Commerce, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.