Individual provider Active NPI

Maria T Perez, LCSW

  • Clinical Social Worker
  • South Miami, FL
National Provider Identifier
1285396614
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18191 Issued in FL
Practice address
5975 Sunset Dr Ste 504
South Miami, FL 33143-5118
Phone
(561) 444-3512
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW18191 FL Primary

Addresses

Primary practice location

5975 Sunset Dr Ste 504
South Miami, FL 33143-5118

Mailing address

13581 SW 112TH Ave
Miami, FL 33176-8322
Phone (786) 239-7510

Other practice location 1

13581 SW 112th Ave
Miami, FL 33176-8322
Phone (786) 239-7510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231004003929 FL Practitioner - Clinical Social Worker 5597110924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW18191FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mtca Psychological Services P.a. CurrentSince Sep 18, 2023 Accepting new patients

Locations

2940 NE 207th St
Aventura, FL 33180
Phone (419) 247-2800

19301 SW 87th Ave
Cutler Bay, FL 33157
Phone (305) 256-3500

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

Organizations & group practices 1

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1285396614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13581 SW 112TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768322",
            "telephone_number": "786-239-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 SUNSET DR STE 504",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435118",
            "telephone_number": "561-444-3512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13581 SW 112th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331768322",
            "country_code": "US",
            "telephone_number": "786-239-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARIA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.