Mary Carmen Perez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105424 Issued in TX

Practice address

806 Jack CT
Longview, TX 75601-8716

Phone

(903) 309-0702

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

M.P. Counseling Services PLLCGroup PAC ID 8527446004, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M.P. Counseling Services PLLC

  • Clinical Social Worker
  • Longview, TX
  • NPI 1497493076
  Medicare reassignment Care Compare group NPD Authorized official
• Sanamente Aliados

  dba Cafe con las Consejeras

  • Clinical Social Worker
  • Longview, TX
  • NPI 1184438673
  Medicare reassignment NPD Authorized official
• Aspiranet

  • Foster Care Agency
  • Ventura, CA
  • NPI 1114352564
  NPD (past)
• Aspiranet

  • Social Worker
  • Ventura, CA
  • NPI 1992059497
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1891101408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 JACK CT",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756018716",
            "telephone_number": "805-385-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 JACK CT",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756018716",
            "telephone_number": "903-309-0702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1838 Eastman Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930036496",
            "country_code": "US",
            "telephone_number": "805-289-0120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 S C St Ste C",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930334573",
            "country_code": "US",
            "telephone_number": "805-385-9420 x9418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARY",
        "middle_name": "CARMEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101750",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891101408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Penner, COTA
• Kayla Pepper
• Nigel Aloysius Pereira
• Cesar Agustin Perez, MD
• Elineida Perez, D.D.S.M.S.
• Sandra Perez, FNP-BC
• William D Perkins, MD
• Perry Chiropractic, P.C.
• Tabitha Perry, LMT
• Carrie Pevey, PHARMD

• Clinical Social Worker in Longview, TX
• Providers in Longview, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.