Kimberly Marie Castillo-Perez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090863 Issued in NY

Practice address

56 W 39TH St Apt 2B
New York, NY 10018-3824

Phone

(917) 808-5644

NPI assigned

Oct 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667001600000",
    "number": "1295376267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 CASTLE HILL AVE APT 3M",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624228",
            "telephone_number": "917-808-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W 39TH ST APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183824",
            "telephone_number": "917-808-5644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Lexington Ave Fl 17",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101681799",
            "country_code": "US",
            "telephone_number": "212-405-8205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Broadway Fl 12",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100384211",
            "country_code": "US",
            "telephone_number": "212-405-8205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO-PEREZ",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090863",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Rafael Castillo Tallaj, MD
• Franco Castillo Tokumori, MD
• Sheila Maria Castillo Toribio
• Jenny Castillo-Cato, MD
• Paulina Castillo-Eisenbeis, LMFT
• Nadya N Castillo-Rodriguez, LMSW
• Abigail Castillo
• Anamaria Castillo, DMD
• Andrea Castillo, DO
• April Anne Castillo, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; 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.