Lady J Perez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081757 Issued in NY

Practice address

112 Columbia Ave
Bergenfield, NJ 07621-1211

Phone

(917) 309-7590

NPI assigned

May 21, 2008

Last updated

Apr 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1407013055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211211",
            "telephone_number": "917-309-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211211",
            "telephone_number": "917-309-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LADY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Paunon, AGPCNP-BC
• Arnold Turla Pazcoguin
• Danielle Peluso
• Maria Rena Penecilla, RN
• Beryl Elizabeth Pereira, MD.
• Melissa Peterson, APN
• Rachell Peterson
• Damon John Pettinelli, M.D.
• Pill Point Pharmacy Inc
• Pinnacle Homecare Rehabilitation LLC

• Clinical Social Worker in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.