KELLY STEPHANIE PEREZ (NPI# 1114581055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114581055 |
| Entity Type | Individual |
| Full Name | KELLY STEPHANIE PEREZ |
| Practice Address |
1405 Spruce St Riverside CA 92507-2464 |
| Practice Telephone | 9517155050 |
| Mailing Telephone | 9517155050 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720640394 | Kelly Perez | Counselor | 9150 Waterman Rd Apt 116, Elk Grove, CA 95624-5079 | 2019-07-03 |
| 1184173908 | Kelly Perez | Marriage & Family Therapist | 84-14 Queens Blvd, Elmhurst, NY 11373 | 2016-09-22 |
| 1730412172 | Kelly Sue Perez | Physician Assistant | 7500 Smoke Ranch Rd Ste 200, Las Vegas, NV 89128-0373 | 2009-09-17 |
| 1003448036 | Kelly Allin Perez | Counselor | 1500 Hughes Way Ste C100, Long Beach, CA 90810-1808 | 2020-02-07 |
| 1679057236 | Kelly Perez | Marriage & Family Therapist | 2790 Skypark Dr Ste 215, Torrance, CA 90505-5388 | 2018-09-19 |
| 1194261693 | Kelly Perez | Behavioral Analyst | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2017-01-09 |
| 1902277643 | Kelly Lynn Perez | Nurse Practitioner | 4875 Higbee Ave Nw, Canton, OH 44718-2566 | 2015-10-07 |
| 1548491178 | Kelly Lynn Perez | Pharmacist | 820 S Damen Ave, Pharmacy Service 119, Chicago, IL 60612-3728 | 2009-07-30 |
| 1053565366 | Kelly Jean Perez | Dietitian, Registered | 4076 Neely Rd, Ft. Wainwright, AK 99703 | 2008-11-13 |
| 1376629493 | Kelly Perez | Physician Assistant | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2006-10-31 |
| Street Address |
1405 SPRUCE ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-2464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912086448 | Eduard Semenov | Marriage & Family Therapist | 1405 Spruce St, Riverside, CA 92507-2464 | 2006-11-03 |
| 1659989580 | Gabriele Barragan | Counselor | 1405 Spruce St, Riverside, CA 92507-2464 | 2020-07-16 |
| 1023633583 | Vanessa Henrietta Joswick | Case Manager/Care Coordinator | 1405 Spruce St, Riverside, CA 92507-2464 | 2020-06-10 |
| 1174160188 | Joe Huerta | Social Worker | 1405 Spruce St, Riverside, CA 92507-2464 | 2019-12-09 |
| 1275179038 | Jose Guillermo Lechuga | Counselor | 1405 Spruce St, Riverside, CA 92507-2464 | 2019-11-26 |
| 1215571757 | Ernest Wenseslao Garavito | Case Manager/Care Coordinator | 1405 Spruce St, Riverside, CA 92507 | 2019-10-28 |
| 1790340982 | Robert Lozano Jr. | Behavioral Analyst | 1405 Spruce St, Riverside, CA 92507-2464 | 2019-05-03 |
| 1477046050 | Michelle Galvez | Case Manager/Care Coordinator | 1405 Spruce St, Riverside, CA 92507-2464 | 2018-06-08 |
| 1770094146 | Mariana Alcala Mayorga | Behavioral Analyst | 1405 Spruce St, Riverside, CA 92507-2464 | 2017-10-12 |
| 1750800579 | Jacob Jeremiah Olivas | Counselor | 1405 Spruce St, Suite A, Riverside, CA 92507-2410 | 2017-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1992288005 | Erica Lynn Washington | Social Worker | 4164 Brockton Ave Ste 102, Riverside, CA 92501-3400 | 2018-09-13 |
| 1063934891 | Dawnita T. Flowers | Social Worker | 10077 Zinfandel Ln, Riverside, CA 92509-2531 | 2017-07-13 |
| 1487045274 | Susana Leticia Ruiz | Social Worker | 12746 Royal Palm Ln, Riverside, CA 92503-7077 | 2015-02-15 |
| 1386068229 | Jennifer Macias | Social Worker | 5063 Olivewood Ave, Riverside, CA 92506-1307 | 2014-02-12 |
| 1326207960 | Julie Naomi Siegel-turner | Social Worker | 18530 Mariposa Ave, Riverside, CA 92508-9616 | 2008-06-09 |
| 1801079538 | Barry Bernard Severe | Social Worker | 6370 Magnolia Ave Ste 200, Riverside, CA 92506-2406 | 2007-12-17 |
| 1720163595 | Adrienne Ann Jordan | Social Worker | 3075 Myers St, Riverside, CA 92503-5525 | 2006-10-27 |
| 1003928342 | Luis Carlos Lamadrid | Social Worker | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2006-08-31 |
| 1003892209 | Nair C Cardoso | Social Worker | 610 Wampanoag Trail, Riverside, RI 02915-1506 | 2005-12-20 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.