Active NPI
Marlen Perez, ASW
- Clinical Social Worker
- Newport Beach, CA
National Provider Identifier
1821674649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 127605
- Practice address
- 5000 Birch St Ste 3000
Newport Beach, CA 92660-2140 - Phone
- (877) 421-1711
- Fax
- (949) 576-3913
- NPI assigned
- Mar 22, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 127605 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 127605 | CA |
Addresses
Primary practice location
5000 Birch St Ste 3000
Newport Beach, CA 92660-2140
Mailing address
506 N Dalton Ave
Azusa, CA 91702-3047
Phone (626) 347-5849
Other practice location 1
180 E Main St Ste 203
Tustin, CA 92780-4414
Phone (877) 421-1711
Other practice location 2
30211 Avenida De Las Bandera Ste 200
Rancho Santa Margarita, CA 92688-2159
Phone (877) 421-1711
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 |
|---|---|---|---|
| 127605 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1821674649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 N DALTON AVE",
"city": "AZUSA",
"state": "CA",
"postal_code": "917023047",
"telephone_number": "626-347-5849",
"fax_number": "626-347-5849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 BIRCH ST STE 3000",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602140",
"telephone_number": "877-421-1711",
"fax_number": "949-576-3913"
}
],
"practiceLocations": [
{
"address_1": "180 E Main St Ste 203",
"address_purpose": "LOCATION",
"city": "Tustin",
"state": "CA",
"postal_code": "927804414",
"country_code": "US",
"telephone_number": "877-421-1711",
"fax_number": "949-576-3913",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30211 Avenida De Las Bandera Ste 200",
"address_purpose": "LOCATION",
"city": "Rancho Santa Margarita",
"state": "CA",
"postal_code": "926882159",
"country_code": "US",
"telephone_number": "877-421-1711",
"fax_number": "949-576-3913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "MARLEN",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "127605",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "127605",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.