Jessica Marie Perusse, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078710 Issued in NY

Practice address

90 Taberg St
Camden, NY 13316-1432

Phone

(315) 335-9727

NPI assigned

Sep 8, 2017

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 NY

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

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Come to the Table Counseling LCSWGroup PAC ID 1951788090, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Come to the Table Counseling LCSW

  • Clinical Social Worker
  • Camden, NY
  • NPI 1093319576

  Clinical, NY

  Medicare reassignment Care Compare group NPD Authorized official
• Oneida Medical Practice, PC

  • Podiatrist
  • Oneida, NY
  • NPI 1356869838
  NPD (past)
• Oneida Medical Practice, PC

  • Multi-Specialty Clinic/Center
  • Oneida, NY
  • NPI 1932398997
  NPD (past)

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1144748252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4097 WILSON RD E",
            "city": "TABERG",
            "state": "NY",
            "postal_code": "134712037",
            "telephone_number": "315-335-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 TABERG ST",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133161432",
            "telephone_number": "315-335-9727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Mexico St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NY",
            "postal_code": "133161214",
            "country_code": "US",
            "telephone_number": "315-335-9727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERUSSE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York State Opwdd
• Julie Ann Noti, LCSW
• Buffy Jo Olson, LPN
• Gregory Paradis, P.T.
• Robin Marie Pardee, LPN
• Poulin Eyecare Inc.
• Poulin Optometric Eyecare , PLLC
• Ronald H Poulin, O.D.
• Amy Olivia Redmond
• Reflections Counseling Services

• All providers in Camden, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.