Active NPI
Jennifer L Peres, LMSW
- Clinical Social Worker
- Santa Fe, NM
National Provider Identifier
1528371861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-08178
- Practice address
- 300 Paseo de Peralta Ste 213
Santa Fe, NM 87501-5509 - Phone
- (505) 699-1855
- NPI assigned
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-08178 | NM | Primary |
Addresses
Primary practice location
300 Paseo de Peralta Ste 213
Santa Fe, NM 87501-5509
Mailing address
300 Paseo de Peralta Ste 213
Santa Fe, NM 87501-5509
Phone (505) 699-1855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-08178 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1528371861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASEO DE PERALTA STE 213",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875015509",
"telephone_number": "505-699-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASEO DE PERALTA STE 213",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875015509",
"telephone_number": "505-699-1855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERES",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-08178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.