Wendy Perez, LCSW, ACADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29492 Issued in ID

Practice address

890 N. Cole Rd
Boise, ID 83704

Phone

(208) 322-1026

NPI assigned

Aug 9, 2012

Sex

Female

Sole proprietor

No

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

Enrolled in ID

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

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Wells & Bell LLC

  dba Advanced Clinical Trauma Services

  • Clinical Social Worker
  • Meridian, ID
  • NPI 1154954683
  Medicare reassignment NPD
• Abundant Serenity LLC

  • Clinical Social Worker
  • Meridian, ID
  • NPI 1467086603
  NPD Authorized official
• Whitetail Treatment and Counseling LLC

  • Clinical Social Worker
  • Meridian, ID
  • NPI 1528704350
  NPD Authorized official

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1750638730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 N. COLE ROAD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N. COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-322-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "WENDY",
        "credential": "LCSW, ACADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "29492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilly Priscila Perez, LMSW
• Gerardo M. Perez, MD
• Keyana Faith Perez, LMSW
• Maria Perez, LCSW
• Savannah Dannyelle Perez, LCSW
• Periodontal Health Specialists of Idaho
• Ernest Casey Perkins, PHARM. D.
• Katie Lynne Perkins, LAMFT
• Kourtney Perkins, DPT
• Lillian Seini Perkins, CRNA

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.