Angelica Pinna-Perez, PHD, LICSW, LCAT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118413 Issued in MA

Practice address

97 Central St Ste 403B
Lowell, MA 01852-1917

Phone

(617) 996-8119

Fax

(617) 925-6367

NPI assigned

Jul 14, 2010

Last updated

Jan 16, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cervitude Counseling PLLC

  • Clinical Social Worker
  • Lowell, MA
  • NPI 1013592179
  Medicare reassignment NPD Authorized official
• Cervitude Coalition Inc

  • Clinical Social Worker
  • Lowell, MA
  • NPI 1164297735
  NPD Authorized official

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1730492117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CENTRAL ST STE 403B",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521917",
            "telephone_number": "617-996-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CENTRAL ST STE 403B",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521917",
            "telephone_number": "617-996-8119",
            "fax_number": "617-925-6367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 W 71st St # 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100233725",
            "country_code": "US",
            "telephone_number": "617-996-8119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINNA-PEREZ",
        "first_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "PHD, LICSW, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "05 001563",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080879",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna J Pinard
• Rebecca Pincott
• Pine Chiropractic
• Elena Pineau, MASTERS DEGREE
• Crissel Pineda
• Angie Pino Ortiz
• Lincoln N Pinsky, MD
• Emily M Pinto, LICSW
• Celestina Pipia
• Teodolinda Wayshak Pique, PSY.D.

• Clinical Social Worker in Lowell, MA
• Providers in Lowell, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.