Julieta P Perez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2923 N Milwaukee Ave Ste 302
Chicago, IL 60618-7886

Phone

(773) 567-9763

Fax

(312) 873-4749

NPI assigned

May 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Nurturing Families in Illinois

  • Adolescent and Children Mental Health Clinic/Center
  • Wheaton, IL
  • NPI 1770145104
  NPD Authorized official
• Rimya

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1891119590
  NPD (past) Authorized official

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1588958128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 N MILWAUKEE AVE STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187886",
            "telephone_number": "800-206-8136",
            "fax_number": "708-575-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 N MILWAUKEE AVE STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187886",
            "telephone_number": "773-567-9763",
            "fax_number": "312-873-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 W Warren Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606121817",
            "country_code": "US",
            "telephone_number": "773-567-9763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Manchester Rd Ste 501-3",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601874586",
            "country_code": "US",
            "telephone_number": "800-206-8136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JULIETA",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE CLINICAL SOCIAL WORKER",
            "identifier": "149.016540",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Perez, MD
• Jessica Annette Perez, NP
• Jessica N Perez
• Johnny Perez
• Joslyn Carmen Perez
• Kaylee Perez, PA-C
• Kelly Lynn Perez, PHARMD
• Kobe Perez, MD
• Laura Perez, FNP-BC
• Leticia Perez, MA

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.