Suncerrae Perry, MSW, APSW, SAC-IT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16958 Issued in WI

Practice address

6650 W State St
#193
Wauwatosa, WI 53213-2827

Phone

(414) 732-0324

NPI assigned

Jan 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1619412491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W STATE ST",
            "address_2": "#193",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W STATE ST",
            "address_2": "#193",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132827",
            "telephone_number": "414-732-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SUNCERRAE",
        "credential": "MSW, APSW, SAC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16958",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Performance Chiropractic Center, S.C.
• Performance Chiropractic Clinic, LLC
• Thomas J Perlewitz, MD
• Perry W Sukowatey DDS LTD
• Madalyn Jessica Perry, D.C
• Roy Perteet
• Amy K Petersdorf, MA
• Talya Marie Petersik, M.S.
• Peterson Lactation Services (Not Applicable)
• Kimberly Anne Peterson, M.A. CCC-SLP

• Addiction (Substance Use Disorder) Counselor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.