Individual provider Active NPI

Leticia Del Carmen Perez-Pinto

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1649796285
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16773 Issued in AZ
Practice address
502 N 27TH Ave
Phoenix, AZ 85009-4420
Phone
(602) 258-6797
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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 16773 AZ Primary

Addresses

Primary practice location

502 N 27TH Ave
Phoenix, AZ 85009-4420

Mailing address

502 N 27TH Ave
Phoenix, AZ 85009-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208002315 AZ Practitioner - Clinical Social Worker 4789941279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valle del Sol IncGroup PAC ID 8628019148, 25 clinicians

Practice addresses (Care Compare)

334 W 10TH PL
Suite 100
Mesa, AZ 85201-3499
Phone (602) 258-6797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16773AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valle del Sol, Inc. Current Accepting new patients

Locations

3807 N 7th St
Phoenix, AZ 85014

8410 W Thomas Rd
Ste 116
Phoenix, AZ 85037
Phone (623) 748-9331

1209 S 1st Ave
Phoenix, AZ 85003
Phone (602) 282-8006

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1649796285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850094420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850094420",
            "telephone_number": "602-258-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-PINTO",
        "first_name": "LETICIA",
        "middle_name": "DEL CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "16773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.