Individual provider Active NPI

John James Perak, LCSWR

  • Clinical Social Worker
  • Ransomville, NY
National Provider Identifier
1386962579
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
035374 Issued in NY
Practice address
3509 Ransomville Rd
Ransomville, NY 14131
Phone
(716) 791-3571
NPI assigned
May 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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 035374 NY Primary

Addresses

Primary practice location

3509 Ransomville Rd
Ransomville, NY 14131

Mailing address

3509 Ransomville Rd
Ransomville, NY 14131-9602
Phone (716) 791-3571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050829000383 NY Practitioner - Clinical Social Worker 9931130002 Reassigns benefits to 1 organization
Practice locations: Amherst, NY; Orchard Park, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035374NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Jun 1, 2025 Accepting new patients
Karner Psychological Associates PC PastSince Mar 1, 1999 Accepting new patients

Organizations & group practices 2

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1386962579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 RANSOMVILLE RD",
            "city": "RANSOMVILLE",
            "state": "NY",
            "postal_code": "141319602",
            "telephone_number": "716-791-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 RANSOMVILLE RD",
            "city": "RANSOMVILLE",
            "state": "NY",
            "postal_code": "14131",
            "telephone_number": "716-791-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAK",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "035374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ransomville, NY

Sources for this page

Verify at the official NPI Registry.