Individual provider Active NPI

Shaquinta Thomas Perez, LCSW

  • Clinical Social Worker
  • Bellflower, CA
National Provider Identifier
1629675608
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
80755 Issued in CA
Practice address
17434 Bellflower Blvd Ste 200-103
Bellflower, CA 90706-6849
Phone
(323) 823-1596
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWI.LW.61631325 WA
Clinical Social Worker 1041C0700X 80755 CA Primary

Addresses

Primary practice location

17434 Bellflower Blvd Ste 200-103
Bellflower, CA 90706-6849

Mailing address

17434 Bellflower Blvd Ste 200-103
Bellflower, CA 90706-6849
Phone (323) 823-1596

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
80755CAMDClinical Social Worker
SWI.LW.61631325WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1629675608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17434 BELLFLOWER BLVD STE 200-103",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066849",
            "telephone_number": "323-823-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17434 BELLFLOWER BLVD STE 200-103",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066849",
            "telephone_number": "323-823-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS PEREZ",
        "first_name": "SHAQUINTA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.61631325",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.