Active NPI
Katie Perez, LCSW
- Clinical Social Worker
- Verona, NJ
National Provider Identifier
1770097982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05759300
- Practice address
- 799 Bloomfield Ave Ste 300
Verona, NJ 07044-1301 - Phone
- (973) 429-6813
- NPI assigned
- Nov 27, 2017
- Last updated
- Nov 27, 2017
- 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 | 44SC05759300 | NJ | Primary |
Addresses
Primary practice location
799 Bloomfield Ave Ste 300
Verona, NJ 07044-1301
Mailing address
110 Little St
Belleville, NJ 07109-3240
Phone (973) 985-4712
Other practice location 1
799 Bloomfield Ave Ste 300
Verona, NJ 07044-1301
Phone (973) 429-6813
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05759300 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1770097982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LITTLE ST",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071093240",
"telephone_number": "973-985-4712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 BLOOMFIELD AVE STE 300",
"city": "VERONA",
"state": "NJ",
"postal_code": "070441301",
"telephone_number": "973-429-6813"
}
],
"practiceLocations": [
{
"address_1": "799 Bloomfield Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Verona",
"state": "NJ",
"postal_code": "070441301",
"country_code": "US",
"telephone_number": "973-429-6813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "KATIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-27",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05759300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Verona, NJ
- Peace & Purpose, LLC
- Francesca Ann Peckman, PSYD
- Caridad B Pelayo, LICENSED MASSAGE
- Alexia Peratikos-Kiritsis, PSY.D.
- Beremis Cristian Perez, PT, DPT
- Personnel Finders, Inc. (Nursefinders of Verona)
- Physicians Firstcare LLC
- Anthony J. Piccolo, PA
- Pirelli Clinical and Forensic Psychology, LLC
- Gabriela P Plesek Andia, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.