Evita Perez-Rodriguez, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

101470 Issued in NY

Practice address

900 Intervale Ave
Bronx, NY 10459-4240

Phone

(718) 732-7168

NPI assigned

Dec 18, 2017

Last updated

Jul 29, 2024By the provider in NPPES

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1295241974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BROADWAY",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222835",
            "telephone_number": "646-988-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INTERVALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594240",
            "telephone_number": "718-732-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-RODRIGUEZ",
        "first_name": "EVITA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2017-12-18",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "000850",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "101470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163W00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmela Perez-Diedhiou, LCSW
• Jacqueline Perez-Garcia, MS.ED.
• Madeline Perez-Lopez, SOCIAL WORK
• Anthony Joseph Perez-Pino, DMD
• Norma Dania Perez-Polanco, SLP
• Michele M Perez-Santos, NYCPS-P
• Roman Perez-Soler, MD
• Eduardo Jose Perez-Torres
• Abigail Perez, CCC-SLP, BE
• Alexandra Perez

• Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.