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
- Last updated
- May 13, 2015
- 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
Chicago, IL 60629
Phone (773) 258-1435
6149 S Kenneth Ave
Fl 2
Chicago, IL 60629
Phone (773) 581-4357
4550 W 103rd St
Ste 203
Oak Lawn, IL 60453
Phone (773) 581-4357
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.