Michelle Nicole Perusse, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW97586 Issued in CA

Practice address

3540 Howard Way Ste 150
Costa Mesa, CA 92626-1496

Phone

(714) 547-7559

NPI assigned

Sep 25, 2019

Sex

Female

Sole proprietor

No

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 CA

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orange County Health Psychologists IncGroup PAC ID 4688990260, 59 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.

• Orange County Health Psychologists, Inc.

  • Clinical Psychologist
  • Irvine, CA
  • NPI 1174945554
  Medicare reassignment Care Compare group NPD
• Kamala Thomas Psychological Services Corp

  • Adult Mental Health Clinic/Center
  • Irvine, CA
  • NPI 1144843814
  NPD
• Orange County Association for Mental Health

  • Mental Health Counselor
  • Santa Ana, CA
  • NPI 1316076151
  NPD (past)
• Orange County Association for Mental Health

  • Mental Health Counselor
  • Costa Mesa, CA
  • NPI 1972632610
  NPD (past)
• Tri-City Mental Health Authority

  • Community/Behavioral Health Agency
  • Pomona, CA
  • NPI 1346304920
  NPD (past)
• Tri-City Mental Health Center

  • Case Management Agency
  • Pomona, CA
  • NPI 1255651501
  NPD (past)

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1164073706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4675",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917234675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 HOWARD WAY STE 150",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261496",
            "telephone_number": "714-547-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUSSE",
        "first_name": "MICHELLE",
        "middle_name": "NICOLE",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW97586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Perkowski
• Leah Perle
• Raven Nicole Perone
• Hank Perry, RADT
• Tylynn Perryman
• Lea Michelle Peruzzi, LMFT
• Ashika Pese
• Jan Phillip Pesigan, M.A.
• David Pesonen
• Scott Thomas Pestotnik, PHARM D

• Clinical Social Worker in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.