Individual provider Active NPI

Stephanie Ruby Perez, LCSW

  • Clinical Social Worker
  • Bonham, TX
National Provider Identifier
1912501206
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67588 Issued in TX
Practice address
1413 Silo Rd Apt 702
Bonham, TX 75418-2886
Phone
(469) 247-5578
NPI assigned
Nov 26, 2020
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 67588 TX
Clinical Social Worker 1041C0700X 67588 TX Primary

Addresses

Primary practice location

1413 Silo Rd Apt 702
Bonham, TX 75418-2886

Mailing address

1413 Silo Rd Apt 702
Bonham, TX 75418-2886
Phone (469) 247-5578

Other practice location 1

4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084
Phone (214) 918-1999

Other practice location 2

8390 Lyndon B Johnson Fwy Ste 575
Dallas, TX 75243-1289
Phone (214) 918-1999

Other names 1

  • Stephanie Ruby Loera-Olague Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241213002846 TX Practitioner - Clinical Social Worker 7012443005 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67588TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carewright Clinical Services, PLLC CurrentSince Oct 11, 2024 Accepting new patients

Locations

8390 Lyndon B Johnson Fwy
Ste 575
Dallas, TX 75243

4925 Greenville Ave
Ste 1050
Dallas, TX 75206

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1912501206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 SILO RD APT 702",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754182886",
            "telephone_number": "469-247-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 SILO RD APT 702",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754182886",
            "telephone_number": "469-247-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4925 Greenville Ave Ste 1050",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752064084",
            "country_code": "US",
            "telephone_number": "214-918-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8390 Lyndon B Johnson Fwy Ste 575",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752431289",
            "country_code": "US",
            "telephone_number": "214-918-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "STEPHANIE",
        "middle_name": "RUBY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-26",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "67588",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LOERA-OLAGUE",
            "middle_name": "RUBY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bonham, TX

Sources for this page

Verify at the official NPI Registry.