Eliza Victoria Pertz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R044254 Issued in NY

Practice address

244 5TH Ave
Suite 8D
New York, NY 10001

Phone

(914) 391-7045

Fax

(914) 834-9898

NPI assigned

Dec 8, 2017

Last updated

Dec 8, 2017By 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 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": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1710492038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HIDDEN GREEN LANE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "10538",
            "telephone_number": "914-391-7045",
            "fax_number": "914-834-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 5TH AVE",
            "address_2": "SUITE 8D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "914-391-7045",
            "fax_number": "914-834-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTZ",
        "first_name": "ELIZA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Persons Psychology, PLLC
• Perspective Psychiatry LLC
• Marjan Persuh
• Fanny Pertnoy, LCSW
• Vera Pertsovskaya, MD
• Michael Peruggia Jr., MD
• Jai Swarna Perumal, M.D.
• Brianna Perumpail, PHARMD
• Brandi Rochelle Perusomala, LCSW
• Sadia Perveen

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.