Jamie Pereira, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

108104 Issued in CA

Practice address

11295 Los Osos Valley Rd Apt 4
San Luis Obispo, CA 93405-6345

Phone

(805) 234-0930

NPI assigned

Dec 6, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1841901469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11295 LOS OSOS VALLEY RD APT 4",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934056345",
            "telephone_number": "805-234-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11295 LOS OSOS VALLEY RD APT 4",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934056345",
            "telephone_number": "805-234-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "JAMIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "108104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.betterhelp.com",
            "affiliation": "Y",
            "endpointDescription": "BetterHelp",
            "affiliationName": "BetterHelp",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Direct messages, email and video sessions",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2211 S Scyene Way",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837128532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen T. Penepacker, MD
• Brian Scott Penton, M.D.
• People Persons Services LLC
• People'S Self-Help Housing
• Mary Peracca, LMFT
• Tessa Ann Pereira
• Elizabeth Pereyra-Rodriguez
• Eliizabeth Perez Fuerte
• Alyssa Perez
• Francisco Guillermo Perez

• Social Worker in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.