Individual provider Active NPI

Marlen Santana Perez, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1316180631
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5080 Issued in TN
Practice address
4928 Edmondson Pike
Suite 205
Nashville, TN 37211-4787
Phone
(615) 222-1400
Fax
(615) 222-1410
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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 5080 TN Primary

Addresses

Primary practice location

4928 Edmondson Pike
Suite 205
Nashville, TN 37211-4787

Mailing address

PO Box 24730
Nashville, TN 37202-4730
Phone (615) 386-2300

Other identifiers 2

IdentifierTypeStateIssuer
1513193MedicaidTN
600577011OtherMAGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Past Accepting new patients
Richland Internal Medicine LLC Past Accepting new patients
Children and Adults Medical Group, LLC Past Accepting new patients

Organizations & group practices 3

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": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1316180631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24730",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372024730",
            "telephone_number": "615-386-2300",
            "fax_number": "615-386-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 EDMONDSON PIKE",
            "address_2": "SUITE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114787",
            "telephone_number": "615-222-1400",
            "fax_number": "615-222-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA PEREZ",
        "first_name": "MARLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513193",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600577011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.