Evelyn Perez, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3663 Martin Luther King Jr Blvd
Lynwood, CA 90262-3506

Phone

(310) 749-9298

NPI assigned

Aug 6, 2019

Last updated

Jun 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Via Care Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1497001226
  Medicare reassignment NPD
• Prime Healthcare Services - St Francis LLC

  dba St. Francis Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lynwood, CA
  • NPI 1194317776
  NPD
• Via Care Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1235577529
  NPD
• Via Care Community Health Center

  dba Via Care 607

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1770034530
  NPD
• Olive Crest

  • Community/Behavioral Health Agency
  • Bellflower, CA
  • NPI 1265569057
  NPD (past)
• Prime Healthcare Services - St Francis LLC

  • Skilled Nursing Facility
  • Lynwood, CA
  • NPI 1427678119
  NPD (past)

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1952956039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623506",
            "telephone_number": "310-900-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623506",
            "telephone_number": "310-749-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EVELYN",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "90479",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "90479",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arturo Pelayo, MD
• Penelope Velasco MD
• Dalila Maribel Perdomo, BSW
• Graciela Perez Ponce
• Christina Perez
• Kelly Allin Perez, MSW, PPSC
• Perlita Perez
• Carla Perkins, RDA
• De'Mawn Zino Perkins
• Angela Perry, AMFT

• Clinical Social Worker in Lynwood, CA
• Providers in Lynwood, 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 Jun 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.