Individual provider Active NPI

Angela Arelis Perez, LCSW-R

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1225313398
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3600 Jerome Ave
Bronx, NY 10467-1052
Phone
(718) 994-5102
Fax
(718) 741-5009
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 084468-1 NY
School Social Worker 1041S0200X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3600 Jerome Ave
Bronx, NY 10467-1052

Mailing address

2255 State Route 32 Unit 619
Modena, NY 12548-7027
Phone (845) 200-9230

Other names 1

  • Angela Arelis Guerrero Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161229000082 NY Practitioner - Clinical Social Worker 7113208448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

145 Lippincott Rd
Wallkill, NY 12589-3608
Phone (845) 200-9230

263 Route 17K
Suite 107a
Newburgh, NY 12550-8345
Phone (845) 200-9230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084468-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Psychotherapy Services LCSW, PLLC Clinical CurrentSince Oct 15, 2016 Accepting new patients
Aspire to Wellness Behavioral Health, LCSW, PLLC Clinical CurrentSince Aug 5, 2021 Accepting new patients

Locations

2255 State Route 32
Unit 619
Modena, NY 12548
Phone (845) 200-9230

263 Route 17K
Ste 107A
Newburgh, NY 12550
Phone (845) 200-9230

514 Haight Ave
Poughkeepsie, NY 12603
Phone (845) 485-3500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1225313398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 STATE ROUTE 32 UNIT 619",
            "city": "MODENA",
            "state": "NY",
            "postal_code": "125487027",
            "telephone_number": "845-200-9230",
            "fax_number": "845-622-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671052",
            "telephone_number": "718-994-5102",
            "fax_number": "718-741-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANGELA",
        "middle_name": "ARELIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084468-1",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GUERRERO",
            "middle_name": "ARELIS",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.