Organization Active NPI

Manuel Perez, a Licensed Clinical Social Worker, Apc

  • Clinical Social Worker
  • Highland, CA
National Provider Identifier
1710869995
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MANUEL PEREZ, A LICENSED CLINICAL SOCIAL WORKER, APC
Practice address
27194 Baseline St Ste D
Highland, CA 92346-3197
Phone
(909) 903-7330
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Manuel Joseph Perez, LCSWNPI 1225607013
Title
President
Phone
(909) 903-7330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

27194 Baseline St Ste D
Highland, CA 92346-3197

Mailing address

28265 Kane CT
Highland, CA 92346-3874
Phone (909) 903-7330

Other names 1

  • Love is Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251204000501 CA Part B Supplier - Clinic/Group Practice 8921591330 Receives reassigned benefits from 1 practitioner
Practice locations: Highland, CA

National Provider Directory

National Provider Directory

Locations

27194 Baseline St
Ste D
Highland, CA 92346
Phone (909) 903-7330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1710869995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28265 KANE CT",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463874",
            "telephone_number": "909-903-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27194 BASELINE ST STE D",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463197",
            "telephone_number": "909-903-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL PEREZ, A LICENSED CLINICAL SOCIAL WORKER, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-903-7330",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love is Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.