Active NPI
Cecilia Eloisa Peraza, LCSW
- Clinical Social Worker
- Hoboken, NJ
National Provider Identifier
1164021630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06047000
- Practice address
- 221 River St Ste 9
Hoboken, NJ 07030-5990 - Phone
- (516) 430-7306
- NPI assigned
- Oct 25, 2020
- 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 | 44SL06410900 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC06047000 | NJ | Primary |
Addresses
Primary practice location
221 River St Ste 9
Hoboken, NJ 07030-5990
Mailing address
221 River St Ste 9
Hoboken, NJ 07030-5990
Phone (516) 430-7306
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SC06047000 | Other | NJ | NEW JERSEY BOARD OF SOCIAL WORK EXAMINERS |
| 44SL06410900 | Other | NJ | NEW JERSEY BOARD OF SOCIAL WORK EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
30 Knightsbridge Rd
Suite 625
Piscataway, NJ 08854-3948
30 Knightsbridge Rd
Suite 625
Piscataway, NJ 08854-3962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06410900 | NJ | MD | Social Worker |
| 44SC06047000 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1164021630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 RIVER ST STE 9",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305990",
"telephone_number": "516-430-7306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 RIVER ST STE 9",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305990",
"telephone_number": "516-430-7306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERAZA",
"first_name": "CECILIA",
"middle_name": "ELOISA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-25",
"last_updated": "2022-01-20",
"certification_date": "2022-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06410900",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06047000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY BOARD OF SOCIAL WORK EXAMINERS",
"identifier": "44SC06047000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY BOARD OF SOCIAL WORK EXAMINERS",
"identifier": "44SL06410900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.