Active NPI
Maribel Perez-Silva, ASW
- Clinical Social Worker
- Commerce, CA
National Provider Identifier
1871892430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 99493
- Practice address
- 5628 E Slauson Ave
Commerce, CA 90040-2922 - Phone
- (323) 599-8241
- Fax
- (323) 780-3211
- NPI assigned
- Mar 22, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 99493 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Clinical Social Worker | 1041C0700X | 99493 | CA | Primary |
Addresses
Primary practice location
5628 E Slauson Ave
Commerce, CA 90040-2922
Mailing address
2450 S Atlantic Blvd
Suite #101
Commerce, CA 90040-1200
Phone (323) 887-1917
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 |
|---|---|---|---|
| 99493 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penny Lane | Past | Accepting new patients | |
| Penny Lane | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Commerce, CA
- NPI 1043491756
-
- Community/Behavioral Health Agency
- Commerce, CA
- NPI 1558664631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1871892430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 S ATLANTIC BLVD",
"address_2": "SUITE #101",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900401200",
"telephone_number": "323-887-1917",
"fax_number": "323-780-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5628 E SLAUSON AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900402922",
"telephone_number": "323-599-8241",
"fax_number": "323-780-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-SILVA",
"first_name": "MARIBEL",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "99493",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "99493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.