Christine Daria Perez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007439 Issued in CT

Practice address

575 Fairfield Woods Rd
Fairfield, CT 06825-2718

Phone

(203) 314-7577

NPI assigned

Feb 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1699014027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SHERMAN CT",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245852",
            "telephone_number": "203-314-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 FAIRFIELD WOODS RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068252718",
            "telephone_number": "203-314-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CHRISTINE",
        "middle_name": "DARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Pearson, LPC
• Brian Michael Pecchia, DPT, ATC
• Madeline Penkoff, CCC-SLP
• Barbara Penna-Garczewski, OT
• Alice Perez, PH.D.
• Lily Perez
• Perfect Smiles of Fairfield
• Kirsten J Perillo, PTA
• James Perkins, LMT
• Bridget Perry, PH.D.

• Clinical Social Worker in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.