Patricia Carla Perez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9468 Issued in CT

Practice address

2400 Main St
Bridgeport, CT 06606

Phone

(203) 362-3900

Fax

(203) 362-3919

NPI assigned

Sep 23, 2016

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1063961613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 QUINTARD LN",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772512",
            "telephone_number": "203-296-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06606",
            "telephone_number": "203-362-3900",
            "fax_number": "203-362-3919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066082301",
            "country_code": "US",
            "telephone_number": "203-736-2601 x1246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "PATRICIA",
        "middle_name": "CARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David James Peregrim, P.A.-C
• Carolina Villanueva Pereira, LMSW
• Yasmin Perez-Maddelena, LPC
• Jennifer Marie Perez
• Joshua Perez
• Raul Perez Jr., MD
• Stephanie Perez, MS
• Perfect Home Care LLC
• Perla Dental of Bridgeport PC
• Lindsey Perriolat, LMSW

• Clinical Social Worker in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.