Active NPI
Josephine Perez, LCSW-R
- Clinical Social Worker
- New York, NY
National Provider Identifier
1649491895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R053567-1
- Practice address
- 19 West 34TH Street
Penthouse, 13TH Floor
New York, NY 10001 - Phone
- (212) 947-7111
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R053567-1 | NY | Primary |
Addresses
Primary practice location
19 West 34TH Street
Penthouse, 13TH Floor
New York, NY 10001
Mailing address
434 West 49TH Street
4W
New York, NY 10019
Phone (917) 568-3678
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
| License | State | Type | Specialty |
|---|---|---|---|
| R053567-1 | NY | MD | Clinical Social Worker |
| 053567 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board of Family and Children'S Services, Inc. | Clinical | Past | Accepting new patients |
| Jbfcs | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1427273846
-
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649491895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 WEST 49TH STREET",
"address_2": "4W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "917-568-3678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WEST 34TH STREET",
"address_2": "PENTHOUSE, 13TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "212-947-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JOSEPHINE",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R053567-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.