Active NPI
Jennifer Jo Perelstein, LMSW-CC
- Clinical Social Worker
- Saco, ME
National Provider Identifier
1760851471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC15582
- Practice address
- 110 Main St
Suite 1200
Saco, ME 04072-3509 - Phone
- (207) 329-4941
- Fax
- (207) 571-3263
- NPI assigned
- Sep 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MC15582 | ME | Primary |
Addresses
Primary practice location
110 Main St
Suite 1200
Saco, ME 04072-3509
Mailing address
110 Main St
Suite 1200
Saco, ME 04072-3509
Phone (207) 329-4941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048254 | Other | ME | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC15582 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1760851471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MAIN ST",
"address_2": "SUITE 1200",
"city": "SACO",
"state": "ME",
"postal_code": "040723509",
"telephone_number": "207-329-4941",
"fax_number": "207-571-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MAIN ST",
"address_2": "SUITE 1200",
"city": "SACO",
"state": "ME",
"postal_code": "040723509",
"telephone_number": "207-329-4941",
"fax_number": "207-571-3263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERELSTEIN",
"first_name": "JENNIFER",
"middle_name": "JO",
"credential": "LMSW-CC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-23",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC15582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "048254",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.