Individual provider Active NPI

Jeff Perls, LCSWR

  • Social Worker
  • Kingston, NY
National Provider Identifier
1497816219
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R037224 Issued in NY
Practice address
465 Broadway
Kingston, NY 12401-4627
Phone
(845) 340-0244
Fax
(845) 340-0141
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R037224 NY Primary

Addresses

Primary practice location

465 Broadway
Kingston, NY 12401-4627

Mailing address

465 Broadway
Kingston, NY 12401-4627
Phone (845) 340-0244

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
I20050303000878 NY Practitioner - Clinical Social Worker 6608820576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Putnam Family and Community Services IncGroup PAC ID 3072402429, 12 clinicians

Practice addresses (Care Compare)

1808 Route 6
Carmel, NY 10512-2356
Phone 84522527000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R037224NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Behavioral Management Services, Inc. Past Accepting new patients
Putnam Family and Community Services Inc PastSince Jan 17, 2017 Accepting new patients
Errol R. Nadler LCSW, P.C. Social Worker PastSince Sep 1, 1998 Accepting new patients

Organizations & group practices 4

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1497816219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014627",
            "telephone_number": "845-340-0244",
            "fax_number": "845-340-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014627",
            "telephone_number": "845-340-0244",
            "fax_number": "845-340-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLS",
        "first_name": "JEFF",
        "name_prefix": "Mr.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R037224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.