Paula McMillan-Perez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092167 Issued in NY

Practice address

1451 West Ave # 5082
Bronx, NY 10462-7304

Phone

(347) 601-4670

Fax

(929) 992-1505

NPI assigned

Mar 1, 2012

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Personalize Your Therapy, LCSW, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bronx, NY
  • NPI 1528764677

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1366716748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 WEST AVE # 5082",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627304",
            "telephone_number": "347-601-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 WEST AVE # 5082",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627304",
            "telephone_number": "347-601-4670",
            "fax_number": "929-992-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN-PEREZ",
        "first_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2022-02-07",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "085387",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanique Shaundece McLune, B.A
• Kisha Annmarie McLymontbrown
• Bernadette Marie McMahon
• Jeanne Marie McMahon, M.S.CCC/SLP
• Gina Guillano McManus, RN
• Cayla McMillian
• Barbara C McMillion, RNP
• Carolann McMillion
• Erin Killingsworth McMinn, MD, MPH
• Soraya McMoore

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, 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 Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.