Susan Marie Perez, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

57657 Issued in TX

Legal business name

SUSAN MARIE PEREZ, LCSW, PLLC

Practice address

138 E Ridgewood CT
San Antonio, TX 78212-2340

Phone

(210) 788-8111

Fax

(210) 822-0554

NPI assigned

Oct 3, 2014

Last updated

Oct 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Marie Perez, LCSW

Title

Owner/Manager

Phone

(210) 788-8111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1558764555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E RIDGEWOOD CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122340",
            "telephone_number": "210-788-8111",
            "fax_number": "210-822-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E RIDGEWOOD CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122340",
            "telephone_number": "210-788-8111",
            "fax_number": "210-822-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MARIE PEREZ, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "210-788-8111",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Isaac Susser, IOM
• Ilona Sussner

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.