Individual provider Active NPI

Kristine H Perez

  • Social Worker
  • Mesa, AZ
National Provider Identifier
1326170382
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW15744 Issued in CA
Practice address
334 W 10TH PL # S100
Mesa, AZ 85201-3497
Phone
(602) 258-6797
NPI assigned
Mar 12, 2007
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW15744 CA Primary
Clinical Social Worker 1041C0700X LCSW-23355 AZ

Addresses

Primary practice location

334 W 10TH PL # S100
Mesa, AZ 85201-3497

Mailing address

3877 N 7TH St # S400
Phoenix, AZ 85014-5072
Phone (602) 258-6797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20251226001761 AZ Practitioner - Clinical Social Worker 4486140647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valle del Sol IncGroup PAC ID 8628019148, 25 clinicians

Practice addresses (Care Compare)

334 W 10TH PL
Suite 100
Mesa, AZ 85201-3499
Phone (602) 258-6797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW15744CAMDSocial Worker
LCSW-23355AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valle del Sol, Inc. CurrentSince Oct 20, 2025 Accepting new patients
Valle del Sol, Inc. CurrentSince Oct 20, 2025 Accepting new patients

Locations

334 W 10th Pl
Ste 100
Mesa, AZ 85201
Phone (480) 834-0771

4135 S Power Rd
Ste 108
Mesa, AZ 85212
Phone (480) 641-1511

1209 S 1st Ave
Phoenix, AZ 85003
Phone (602) 282-8006

3807 N 7th St
Phoenix, AZ 85014

502 N 27th Ave
Phoenix, AZ 85009

8410 W Thomas Rd
Ste 116
Phoenix, AZ 85037
Phone (623) 748-9331

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1326170382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST # S400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145072",
            "telephone_number": "602-258-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 W 10TH PL # S100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013497",
            "telephone_number": "602-258-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KRISTINE",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW15744",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.