Dametres Charon Perkins, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120778 Issued in MA

Practice address

25 Union St Ste 3
Worcester, MA 01608-1141

Phone

(508) 317-2323

Fax

(508) 519-5619

NPI assigned

May 22, 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

Other names 1

• Miss Dametres Charon Hutchinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reclaiming Your Power, LLC

  • Clinical Social Worker
  • Westford, MA
  • NPI 1629662895
  NPD Authorized official

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1316438765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 DRUM HILL RD STE 311",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241505",
            "telephone_number": "508-556-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 UNION ST STE 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081141",
            "telephone_number": "508-317-2323",
            "fax_number": "508-519-5619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Spectrum Girls Detention",
            "address_2": "288 Lyman Street Suite 2",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "01851",
            "country_code": "US",
            "telephone_number": "508-475-3587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "DAMETRES",
        "middle_name": "CHARON",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAMETRES",
            "last_name": "HUTCHINSON",
            "middle_name": "CHARON",
            "prefix": "MISS",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diania Perez
• Hector Perez, LICSW, MSW, PHD(C)
• Jose Rafael Perez, MD
• Mayreny Perez
• Nicholas Perez, BA
• Ema Perkins
• Haley Arruda Perkins
• Katharine Perkins, MSW
• Lauren Marie Perkins
• Liisa Perkio, PT

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.