Julio Mario Peretti, BALBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802071126 Issued in MI

Practice address

21885 Dunham Rd
Suite 1
Clinton TWP, MI 48036-1030

Phone

(586) 469-6498

Fax

(586) 469-6637

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922149236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 STATE ST",
            "city": "ALGONAC",
            "state": "MI",
            "postal_code": "480011479",
            "telephone_number": "810-794-3094",
            "fax_number": "586-469-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21885 DUNHAM RD",
            "address_2": "SUITE 1",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361030",
            "telephone_number": "586-469-6498",
            "fax_number": "586-469-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERETTI",
        "first_name": "JULIO",
        "middle_name": "MARIO",
        "name_prefix": "Mr.",
        "credential": "BALBSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802071126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.