Active NPI
Rolando Perez, LCSW
- Clinical Social Worker
- Palm Springs, FL
National Provider Identifier
1760898266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14929
- Practice address
- 4685 S Congress Ave
Palm Springs, FL 33461-4761 - Phone
- (772) 361-8887
- NPI assigned
- Jul 3, 2014
- Last updated
- Mar 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 091704 | NY | |
| Clinical Social Worker | 1041C0700X | SW14929 | FL | Primary |
Addresses
Primary practice location
4685 S Congress Ave
Palm Springs, FL 33461-4761
Mailing address
4685 S. Congress Avenue
Lake Worth, FL 33461-4761
Phone (723) 618-8887
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 |
|---|---|---|---|
| 091704 | NY | MD | Social Worker |
| SW14929 | FL | MD | Clinical Social Worker |
Interoperability endpoints
- rolando.perez.1@30520.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1760898266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 S. CONGRESS AVENUE",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334614761",
"telephone_number": "723-618-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4685 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334614761",
"telephone_number": "772-361-8887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ROLANDO",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "091704",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.