Individual provider Active NPI

Christi Lynn Perez, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1124295704
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50175 Issued in TX
Practice address
9941 Lingo LN
Dallas, TX 75228
Phone
(972) 502-4107
NPI assigned
May 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 50175 TX
Clinical Social Worker 1041C0700X 50175 TX Primary

Addresses

Primary practice location

9941 Lingo LN
Dallas, TX 75228

Mailing address

9941 Lingo LN
Dallas, TX 75228-3349
Phone (972) 502-4107

Other practice location 1

2433 Deerwood Dr
Little Elm, TX 75068-6634
Phone (469) 688-8407

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
50175TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1124295704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9941 LINGO LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283349",
            "telephone_number": "972-502-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9941 LINGO LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75228",
            "telephone_number": "972-502-4107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2433 Deerwood Dr",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750686634",
            "country_code": "US",
            "telephone_number": "469-688-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CHRISTI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "50175",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.