Angela Perich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

039042 Issued in NY

Practice address

217 Havemeyer St
4TH Floor
Brooklyn, NY 11211-6277

Phone

(718) 963-4430

Fax

(718) 963-0814

NPI assigned

Aug 21, 2006

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

Other identifiers 1

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.

• Puerto Rican Family Institute, Inc.

  • Community/Behavioral Health Agency
  • Elmhurst, NY
  • NPI 1023122181
  NPD (past)
• Puerto Rican Family Institute, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1609980762
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114032604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W 15TH ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116701",
            "telephone_number": "212-924-6324",
            "fax_number": "212-691-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HAVEMEYER ST",
            "address_2": "4TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116277",
            "telephone_number": "718-963-4430",
            "fax_number": "718-963-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERICH",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "039042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS PROVIDER NUMBER",
            "identifier": "040426033008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perfect Vision Management ,Inc.
• Performa Tech Inc
• Performance Edge Chiropractic, P.C.
• Performance Surgical Center LLC
• James R Peri, M.D.
• Natali Perilo, BCBA, LBA-NY
• Leah Kerri Perine, LPN
• Lekshmi Peringassery Sateesh, MD
• Rebecca Rose Perini, LCSW
• Kirishanth Perinpanathan, M.D.

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.