Elizabeth Grace Peri, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005712 Issued in CT

Practice address

2415 Boston Post Rd Ste 12
Guilford, CT 06437-4348

Phone

(203) 453-2999

NPI assigned

Oct 31, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/soundcommunityservices/r4/

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.

• Coastal Counseling Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, CT
  • NPI 1588771935
  NPD (past)
• Sound Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1396700886
  NPD (past)
• Urologic Associates, PC

  • Urology Physician
  • New London, CT
  • NPI 1740362730
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1902983877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 BOSTON POST RD STE 12",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374348",
            "telephone_number": "203-453-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 BOSTON POST RD STE 12",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374348",
            "telephone_number": "203-453-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 State St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063206397",
            "country_code": "US",
            "telephone_number": "860-443-0036 x141",
            "fax_number": "860-443-4284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERI",
        "first_name": "ELIZABETH",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004253027",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Hematology-Oncology Associates, PC
• Emma Pellegrino, PA-C
• Shadaneysa Pelzer
• Cristina P Pereira
• Michael R. Perelson, L.M.F.T.
• Fallon Terese Perrelli, DPT
• Personal Wellness Physical Therapy LLC
• Marissa Pesce, MS, OTR/L
• Jill Anne Peterson, RN, MSN, CPNP
• Thomas P Petrick Jr., DMD

• Clinical Social Worker in Guilford, CT
• Providers in Guilford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.