Javon Lloyd Perry, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017841 Issued in NC

Practice address

249 E NC Highway 54 Ste 320
Durham, NC 27713-2490

Phone

(191) 990-7333

NPI assigned

Aug 26, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: javon.perry.p1@direct.bdihs.nextgenshare.com

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1043939481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 FENELLA DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276067425",
            "telephone_number": "917-386-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E NC HIGHWAY 54 STE 320",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132490",
            "telephone_number": "191-990-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2634 Durham Chapel Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072800",
            "country_code": "US",
            "telephone_number": "984-368-0356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JAVON",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Correne Perry, CPSS
• Daniel Thomas Perry Sr., MA, LPCA
• Donna Marie Perry, LPC
• Douglas Reid Perry, RT (R)(CT)
• Dwight Dean Perry, MD
• Kourtney Ragland Perry, DPT
• Stephanie L Perry, M.D.
• Tressie Shekinas Perry, CRNA
• Marisa Persaud, PA-C
• Personal Care Community Services

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.