Active NPI
Rick Anthony Perez, MSW
- Social Worker
- Wyomissing, PA
National Provider Identifier
1760927354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW128631
- Practice address
- 1011 Reed Ave
Suite 900
Wyomissing, PA 19610-2002 - Phone
- (610) 939-9999
- NPI assigned
- Jan 5, 2017
- Last updated
- Jan 5, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW128631 | PA | Primary |
Addresses
Primary practice location
1011 Reed Ave
Suite 900
Wyomissing, PA 19610-2002
Mailing address
1024 Daisy Dr
Temple, PA 19560-9559
Phone (484) 638-2068
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 |
|---|---|---|---|
| SW128631 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1760927354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 DAISY DR",
"city": "TEMPLE",
"state": "PA",
"postal_code": "195609559",
"telephone_number": "484-638-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 REED AVE",
"address_2": "SUITE 900",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102002",
"telephone_number": "610-939-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "RICK",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-05",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW128631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.