Active NPI
Marisol Perez, LCSW
- Clinical Social Worker
- Montebello, CA
National Provider Identifier
1669789384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW72279
- Practice address
- 1550 Town Center Dr
Montebello, CA 90640-2173 - Phone
- (323) 724-7166
- NPI assigned
- Sep 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Mental Health Counselor | 101YM0800X | 31066 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW72279 | CA | Primary |
Addresses
Primary practice location
1550 Town Center Dr
Montebello, CA 90640-2173
Mailing address
1550 Town Center Dr
Montebello, CA 90640-2173
Phone (323) 724-7166
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 |
|---|---|---|---|
| LCSW72279 | CA | MD | Clinical Social Worker |
| 31066 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1669789384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 TOWN CENTER DR",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402173",
"telephone_number": "323-724-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 TOWN CENTER DR",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402173",
"telephone_number": "323-724-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARISOL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "31066",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW72279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montebello, CA
- Mario Alberto Perez Villagomez
- Alejandro John Perez-Sandi III, FNP
- Maria Mena Perez-Sandi, NURSE PRACTITIONER
- Evelyn Perez, OD
- Leticia Guadalupe Perez, SLPA
- Peritoneal Dialysis Center of America, Inc
- Peter Tran D.D.S., Inc.
- Stephanie Lauren Bibeau Petrenko, M.A., BCBA
- Pham & Cao Dental Corp
- Stacie Pham, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.