Mario Diego Perleche

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12010 Issued in CT

Practice address

331 Wethersfield Ave
Hartford, CT 06114-1420

Phone

(860) 236-4511

NPI assigned

Jul 2, 2019

Sex

Male

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

Enrolled in CT

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intercommunity IncGroup PAC ID 9032001649, 36 clinicians

Practice addresses (Care Compare)

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.

• Intercommunity, Inc.

  • Primary Care Clinic/Center
  • East Hartford, CT
  • NPI 1073548533
  Medicare reassignment Care Compare group NPD
• Diego Perleche, LLC

  • Clinical Social Worker
  • Hartford, CT
  • NPI 1275329039
  NPD Authorized official
• Intercommunity, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Hartford, CT
  • NPI 1962896548
  NPD

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1457913238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WETHERSFIELD AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141420",
            "telephone_number": "860-236-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 WETHERSFIELD AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141420",
            "telephone_number": "860-236-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLECHE",
        "first_name": "MARIO",
        "middle_name": "DIEGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-02-02",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Perez, MA
• Maureen Perez
• Perfectly Imperfekt
• Michael Edward Perkins, MD
• Melinda Susuanne Perkoski, MSW
• Wayne Perosky, PA
• Margaret Dioguaroi Perotti, LCSW
• Concetta Antoinette Perreault-Prado, MA
• Melissa Perregaux, PA
• Jennifer Perri, M.D.

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.