Active NPI
Chrystal Perez, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1548486582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13646
- Practice address
- 3700 Fleet St
Ste. 200
Baltimore, MD 21224-4200 - Phone
- (410) 558-4900
- Fax
- (410) 522-1475
- NPI assigned
- Apr 18, 2007
- 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 | 13646 | MD | Primary |
Addresses
Primary practice location
3700 Fleet St
Ste. 200
Baltimore, MD 21224-4200
Mailing address
3501 Sinclair LN
Baltimore, MD 21213-2029
Phone (410) 732-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore Medical System, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1700882503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1548486582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 SINCLAIR LN",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212132029",
"telephone_number": "410-732-8800",
"fax_number": "410-534-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 FLEET ST",
"address_2": "STE. 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244200",
"telephone_number": "410-558-4900",
"fax_number": "410-522-1475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "CHRYSTAL",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "13646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.