Individual provider Active NPI

Martin Lewis Percher, LCSW

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1629597174
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3624 Issued in FL
Practice address
450 N Park Rd Ste 400
Hollywood, FL 33021-6918
Phone
(954) 925-3191
Fax
(954) 925-3193
NPI assigned
Sep 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW3624 FL Primary

Addresses

Primary practice location

450 N Park Rd Ste 400
Hollywood, FL 33021-6918

Mailing address

3265 NW 47TH Ave # 3211
Coconut Creek, FL 33063-1803
Phone (954) 732-0440

Other identifiers 1

IdentifierTypeStateIssuer
14087404OtherCAQH PROVIDER ID

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW3624FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cadenza Center for Psychotherapy & the Arts, 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.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1629597174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 NW 47TH AVE # 3211",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330631803",
            "telephone_number": "954-732-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N PARK RD STE 400",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216918",
            "telephone_number": "954-925-3191",
            "fax_number": "954-925-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCHER",
        "first_name": "MARTIN",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "14087404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.