Iris Person, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66798 Issued in CA

Practice address

1600 Willow Ave
Clovis, CA 93612-3212

Phone

(559) 765-9644

Fax

(559) 299-9985

NPI assigned

Jun 30, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1760865463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3722",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936133722",
            "telephone_number": "559-765-9644",
            "fax_number": "559-299-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WILLOW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123212",
            "telephone_number": "559-765-9644",
            "fax_number": "559-299-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSON",
        "first_name": "IRIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "66798",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "66798",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "66798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santana Aaron Ciel Perez
• Michelle Perkins, RNFA
• Samantha Perkins
• Aaronjack Russell Perry III
• Geni Perryment, PHD
• Rosa Petrosian, COLLEGE
• Natalie Gina Petty
• Russell Alan Pfaff
• Hien N. Pham, D.D.S.
• Tracee Phanco, LMFT

• Clinical Social Worker in Clovis, CA
• Providers in Clovis, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.