Active NPI
Alexa Joy Perez, LCSW
- Clinical Social Worker
- San Bernardino, CA
National Provider Identifier
1114053410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27760
- Practice address
- 900 E Gilbert St
San Bernardino, CA 92415-1004 - Phone
- (909) 386-0785
- Fax
- (909) 386-0750
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW 20866 | CA | |
| Clinical Social Worker | 1041C0700X | 27760 | CA | Primary |
Addresses
Primary practice location
900 E Gilbert St
San Bernardino, CA 92415-1004
Mailing address
900 E Gilbert St
San Bernardino, CA 92415-1004
Phone (909) 386-0785
Other names 1
- Alexa Christensen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 20866 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1114053410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E GILBERT ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924151004",
"telephone_number": "909-386-0785",
"fax_number": "909-386-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E GILBERT ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924151004",
"telephone_number": "909-386-0785",
"fax_number": "909-386-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ALEXA",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW 20866",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXA",
"last_name": "CHRISTENSEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.