Andrea MN Perkins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

69571 Issued in CA

Practice address

SJC BHS Bacop
1149 El Dorado Street
Stockton, CA 95202

Phone

(209) 468-2337

Fax

(209) 953-7400

NPI assigned

Oct 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Margaret Nicole Perkins Other name

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": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1861035586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SJC BHS BACOP",
            "address_2": "1149 EL DORADO STREET",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95202",
            "telephone_number": "209-468-2337",
            "fax_number": "209-953-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SJC BHS BACOP",
            "address_2": "1149 EL DORADO STREET",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95202",
            "telephone_number": "209-468-2337",
            "fax_number": "209-953-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "ANDREA",
        "middle_name": "MN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "69571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "PERKINS",
            "middle_name": "MARGARET NICOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Deny Perez
• Selena Perez
• Sylvia Perez, MA
• Vanessa Perez
• Veronica Elaine Perez
• Andrew J Perkins, D.M.D.
• Anthony Perkins
• Elizabeth Irene Perkins, HIS
• Kiersten Valda Perkins
• Permanente Medical Group Inc

• Clinical Social Worker in Stockton, CA
• Providers in Stockton, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.