Anthony Gene Perry, MSW, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00939153 Issued in WV

Practice address

5955 Zeamer Ave
Attn: Credentials (CMC)
Elmendorf Afb, AK 99506-3702

Phone

(907) 580-2181

Fax

(907) 580-1776

NPI assigned

Jan 6, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1275511578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19506 OSTOVIA CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "address_2": "ATTN: CREDENTIALS (CMC)",
            "city": "ELMENDORF AFB",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-2181",
            "fax_number": "907-580-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ANTHONY",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00939153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nico Rouse Corporation PC
• Uzoamaka O Nwoye, MD
• Laura Olienyk
• Peter M Pedalino, DDS
• Sarah Peller
• Colin Duncan Perry, CRNA
• Stephen Delore Plichta Jr., M.D.
• James Poling, DO
• Sean Pruett, CRNA
• David Lawton Robinson, DDS

• Clinical Social Worker in Elmendorf Afb, AK
• Providers in Elmendorf Afb, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.