Elizabeth Ana Peralta, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801116647 Issued in MI

Practice address

909 Abbot Rd Ste B
East Lansing, MI 48823-3168

Phone

(269) 430-3122

NPI assigned

Jun 30, 2021

Last updated

Mar 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Community Mental Health Authority Clinton Eaton Ingham Counties

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lansing, MI
  • NPI 1265483457
  Medicare reassignment
• Palazzolo Therapy Services LLC

  • Social Worker
  • East Lansing, MI
  • NPI 1396461133
  NPD
• Therapy Services of East Lansing, LLC

  dba Therapy Services of East Lansing

  • Clinical Social Worker
  • East Lansing, MI
  • NPI 1770177461
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1134799133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AMBASSADOR AVE APT 312",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ABBOT RD STE B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233168",
            "telephone_number": "269-430-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "ELIZABETH",
        "middle_name": "ANA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801116647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Pearson
• Pediatric Dentistry of East Lansing
• Michelle Lynne Pell, RN, BSN
• Monica Kris Pelowski, DO, MPH
• Ronald B. Penfield, MSW
• Richelle Elana Perkins
• Eugene Pernell Jr., PHD
• Brian Alexander Peshek, M.D.
• Peter Foster-Fishman, Psy.D.
• Peter H. Lauber, PH.D.,P.C.

• Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.