Nielvis Judith Gonzalez Perez, LMSW
Individual provider Active NPI Social Worker · Oxford, CT
NPI 1053208017 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1053208017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 8049 (CT)
- Practice address
- 350 Center Rock GRN Ste 10D
Oxford, CT 06478-3170 - Phone
- (203) 450-9655
- NPI assigned
- Jun 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortes Counseling LLC | Current |
Accepting new patients |
Locations
350 Center Rock Grn
Ste 10D
Oxford, CT 06478
Phone (203) 450-9655
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8049 | CT | Yes |
Addresses
Primary practice location
350 Center Rock GRN Ste 10D
Oxford, CT 06478-3170
Mailing address
73 Ashley St
Bridgeport, CT 06610-1616
Other providers in Oxford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.