Jessica D Pereira, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06275300 Issued in NJ

Practice address

8500 Village Dr Ste 101
San Antonio, TX 78217-5510

Phone

(726) 201-3047

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  NPD (past)

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1063931095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 CHAPEL AVE W",
            "address_2": "STE 120",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022051",
            "telephone_number": "201-792-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 VILLAGE DR STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175510",
            "telephone_number": "726-201-3047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070306503",
            "country_code": "US",
            "telephone_number": "201-792-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "JESSICA",
        "middle_name": "D",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107670",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06275300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giau Tran Perdido, LPC
• Krista Marie Perdue, D.C.
• Landon Luke Perdue
• Miguel Angel Perea
• Ismahan Pereida
• Thanya Pereira
• Ana F Perel, LCSW
• Amanda Sousa Peres, PA-C
• Ortal Peretz, D.D.S.
• Tracy Renee Pereyda, BEHAVIOR HEALTH

• Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.