Individual provider Active NPI

Maria Veronica Laguna Perez, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1871965012
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
096490 Issued in NY
Practice address
1125 Fulton St
Second Floor
Brooklyn, NY 11238-2669
Phone
(347) 226-9025
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 096490 NY Primary

Addresses

Primary practice location

1125 Fulton St
Second Floor
Brooklyn, NY 11238-2669

Mailing address

1125 Fulton St
Second Floor
Brooklyn, NY 11238-2669
Phone (347) 226-9025

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

LicenseStateTypeSpecialty
096490NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sus Mental Health Programs, Inc. PastSince Sep 15, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1871965012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 FULTON ST",
            "address_2": "SECOND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382669",
            "telephone_number": "347-226-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 FULTON ST",
            "address_2": "SECOND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382669",
            "telephone_number": "347-226-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUNA PEREZ",
        "first_name": "MARIA",
        "middle_name": "VERONICA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.