Cindy Suzan Perkiss, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012220 Issued in PA

Practice address

7916 Queen St
Suite 203
Wyndmoor, PA 19038-8037

Phone

(215) 836-2410

Fax

(215) 233-9687

NPI assigned

Sep 22, 2005

Sex

Female

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Sep 1, 2013 through Sep 1, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1912993239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 QUEEN ST",
            "address_2": "SUITE 203",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388037",
            "telephone_number": "215-836-2410",
            "fax_number": "215-233-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 QUEEN ST",
            "address_2": "SUITE 203",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388037",
            "telephone_number": "215-836-2410",
            "fax_number": "215-233-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKISS",
        "first_name": "CINDY",
        "middle_name": "SUZAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1440194",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher P. O'Brien, ATC
• Shannon Marie O'Neill, OTR/L
• Jeanine Cassar O'Rourke, LCSW
• Lois Olshan, RN
• Nicole Roxolana Palaio, LPC
• Paul Perri, COTA
• Daniel Joseph Peterson, MD
• Allison Fox Powers
• Daila Melita Pravs, M.D.
• Jillian Prinz

• Clinical Social Worker in Wyndmoor, PA
• Providers in Wyndmoor, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.