Dorothy Pedro, MSW, LCSW, CCM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 26417 Issued in CA

Practice address

4756 Cape May Ave
San Diego, CA 92107-2226

Phone

(619) 542-9583

NPI assigned

Dec 2, 2015

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 names 1

• Dorothy Peralta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1932574845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4756 CAPE MAY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072226",
            "telephone_number": "619-542-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4756 CAPE MAY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072226",
            "telephone_number": "619-542-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRO",
        "first_name": "DOROTHY",
        "credential": "MSW, LCSW, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 26417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "PERALTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kassandra Pedraza
• Maritzabel Pedrazzini
• Christian Pedretti, L.AC.
• Emily Pedrick
• Sherry Jane Pedro Lee
• Teresita Pedroso
• Melanie Nicole Pedrotti, LCSW
• Andres Pedroza-Flores
• Gisela Michelle Pedroza
• Nehemias Pedroza

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.