Yanet Perdomo, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW12970 Issued in FL

Practice address

2022 James Dr
Oviedo, FL 32765-6369

Phone

(646) 295-2738

NPI assigned

Aug 27, 2009

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Yanet Perdomo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Constellation Support Services LLCGroup PAC ID 1052836939, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aby Behavioral Solutions LLC

  • Community/Behavioral Health Agency
  • Sanford, FL
  • NPI 1689332561
  Authorized official Same address or phone
• Constellation Support Services LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1205549078
  Care Compare group

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1649403437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COOPER DR",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501501",
            "telephone_number": "845-238-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 JAMES DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656369",
            "telephone_number": "646-295-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDOMO",
        "first_name": "YANET",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12970",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071717",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW12970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANET",
            "last_name": "PERDOMO",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ciarra Anne Peck
• Pediatrix Medical Group of Florida, Inc
• Pedro Y. Chan, R.PH., DO, PA (Oviedo Family Clinic)
• Dana Marie Pedroza, P.T.A
• Anna Peppiatt
• Adriel Perez, APRN
• Ashley Marie Perez
• Krista Perez, APRN
• Loren Heath Perez, PT
• Nicole M Perez

• Mental Health Counselor in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.