Amber Perez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9991 Issued in CT

Practice address

20 Batterson Park Rd Ste 300
Farmington, CT 06032-4500

Phone

(860) 284-1177

Fax

(860) 284-1125

NPI assigned

Feb 14, 2018

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 CT

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

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.

• Kiefer Counseling LLC

  • Clinical Social Worker
  • Terryville, CT
  • NPI 1568100873
  Medicare reassignment NPD
• Nafi Connecticut Inc.

  • Clinic/Center
  • Hartford, CT
  • NPI 1619258449
  NPD (past)

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1295235596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BATTERSON PARK RD STE 300",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060324500",
            "telephone_number": "860-284-1177",
            "fax_number": "860-284-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BATTERSON PARK RD STE 300",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060324500",
            "telephone_number": "860-284-1177",
            "fax_number": "860-284-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "AMBER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Peracchio
• Ana Paula Pereira
• Cristina Ivelisse Perez Caro
• Eliana Rosalia Perez Rosero, DDS, MSC.
• Nancy Eslendy Perez-Hernandez
• Mario Fernando Perez, MD
• Kelly Anne Perkins, L.A.T.C.
• Evon Marie Perlman
• Kristina Perona, COTA
• Erika Danielle Perrin, COTA/L

• Clinical Social Worker in Farmington, CT
• Providers in Farmington, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.