Active NPI
Patricia Perez, LCSW
- Social Worker
- Chicago, IL
National Provider Identifier
1972807493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 6149 S Kenneth Ave
Chicago, IL 60629-5209 - Phone
- (773) 258-1435
- NPI assigned
- Dec 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
6149 S Kenneth Ave
Chicago, IL 60629-5209
Mailing address
6149 S Kenneth Ave
Chicago, IL 60629-5209
Phone (773) 258-1435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consuelo, Inc. | Current | Accepting new patients | |
| Consuelo, Inc. | Current | Accepting new patients |
Locations
6149 S Kenneth Ave
Fl 2
Chicago, IL 60629
Phone (773) 581-4356
6149 S Kenneth Ave
Chicago, IL 60629
Phone (773) 258-1435
4550 W 103rd St
Ste 203
Oak Lawn, IL 60453
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Waukegan, IL
- NPI 1407555477
-
- Clinic/Center
- Oak Lawn, IL
- NPI 1770929416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1972807493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6149 S KENNETH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606295209",
"telephone_number": "773-258-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6149 S KENNETH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606295209",
"telephone_number": "773-258-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "PATRICIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-23",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.