MICHELLE R. PEREZ (NPI# 1306100078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306100078 |
| Entity Type | Individual |
| Full Name | MICHELLE R. PEREZ |
| Other Name | MICHELLE R. GRIMM |
| Credential | LCSW |
| Practice Address |
212 Hospital Ln Suite 101 Perryville MO 63775-1276 |
| Practice Telephone | 5735477888 |
| Mailing Telephone | 5735477888 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
004807 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1306100078 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023568748 | Michelle Annette Perez | Nurse Practitioner | 6475 Sugar Tree Dr, Spring Hill, FL 34607-2517 | 2016-10-05 |
| 1003233487 | Michelle Maria Perez | Pediatrics | 27 Harmon Dr, Paramus, NJ 07652-3218 | 2014-03-24 |
| 1487943130 | Michelle Perez | Clinic/Center | 837 Trinity Ave Apt 3h, Bronx, NY 10456-7738 | 2011-04-04 |
| 1437783982 | Michelle Perez | Behavior Technician | 6475 Sierra Ln, Dublin, CA 94568-2796 | 2020-02-24 |
| 1073154498 | Michelle Joana Perez | Developmental Therapist | 1800 Columbus Ave, Boston, MA 02119-1042 | 2019-10-07 |
| 1083272165 | Michelle Perez | Case Manager/Care Coordinator | 3301 37th Ave, Sacramento, CA 95824-2418 | 2019-06-03 |
| 1629531785 | Michelle Renee Perez | Student in an Organized Health Care Education/Training Program | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2019-04-07 |
| 1396216248 | Michelle Perez | Counselor | 44447 10th St W, Lancaster, CA 93534-3324 | 2018-12-17 |
| 1346727658 | Michelle Perez | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2018-07-19 |
| 1306366786 | Michelle Perez | Speech-Language Pathologist | 833 N 26th St, Milwaukee, WI 53233 | 2017-06-26 |
| Street Address |
212 HOSPITAL LN SUITE 101 |
| City | PERRYVILLE |
| State | MO |
| Zip Code | 63775-1276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655619 | Darryl A Green | Family Medicine | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1276 | 2005-08-10 |
| 1518315480 | Theresa M Lipe | Nurse Practitioner | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1224 | 2016-06-01 |
| 1821438508 | Shannon Elizabeth Bulla | Pharmacist | 212 Hospital Ln, Perryville, MO 63775-1224 | 2013-06-26 |
| 1740427889 | Perry County Health System | Surgery | 212 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2009-01-12 |
| 1447416292 | Marlon Cajilig Torrento | Internal Medicine | 212 Hospital Ln, Suite 200, Perryville, MO 63775-1276 | 2008-07-31 |
| 1114121514 | Joseph W. Sharlow M.d. PC | Surgery | 212 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2007-06-12 |
| 1629148135 | David M Steele | Surgery | 212 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2006-11-09 |
| 1467557488 | Perry County Health System | Clinic/Center | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1276 | 2006-09-14 |
| 1760454888 | Meredith Gruenwald | Nurse Practitioner | 212 Hospital Ln, Suite 205, Perryville, MO 63775-1276 | 2006-02-02 |
| 1619951704 | Granville J Phillips | Obstetrics & Gynecology | 212 Hospital Ln, Suite 205, Perryville, MO 63775-1276 | 2005-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144949 | New Life Mission Inn - Missouri | Clinic/Center | 114 W. South, Perryville, MO 63775 | 2020-11-02 |
| 1881211829 | Sarah Jo Cross | Social Worker | 406 S Spring St, Ste 2, Perryville, MO 63775 | 2020-06-25 |
| 1902461908 | Health Care Pharmacy of Perryville, LLC | Pharmacy | 628 N Old St Marys Rd, Perryville, MO 63775 | 2019-05-06 |
| 1710437603 | Danielle Renee Hoeckele | Chiropractor | 1516 Edgemont Blvd Ste 100, Perryville, MO 63775 | 2016-10-04 |
| 1487024956 | Sherry Ann Goshen | Social Worker | 12 N Kings Hwy, Perryville, MO 63775 | 2015-09-28 |
| 1669801353 | Derek Adelman | Physical Therapy Assistant | 206 Hospital Lane, Ste 100, Perryville, MO 63775 | 2013-11-04 |
| 1407158678 | Perry County Memorial Hospital | Ambulance | 434 N West Street, Perryville, MO 63775 | 2010-11-22 |
| 1699928358 | East Missouri Action Agency, Inc. | Clinic/Center | 519 Old St Mary's Rd, Perryville, MO 63775 | 2008-10-28 |
| 1013171115 | Air Evac Ems Inc. | Ambulance | 4801 N Highway 51, Perryville, MO 63775 | 2008-07-17 |
| 1245457241 | Robert Schremp | Physical Therapist | 150 S. Mount Auburn Road, Cape Girardeau, MO 63775 | 2007-04-19 |
| Find all providers in zip 63775 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619453750 | Sanchez Counseling, LLC | Social Worker | 4863 Pulaski Hwy Ste 120, Perryville, MD 21903-1623 | 2018-07-12 |
| 1487024956 | Sherry Ann Goshen | Social Worker | 12 N Kings Hwy, Perryville, MO 63775 | 2015-09-28 |
| 1528254612 | Kelley Wescott Camarote | Social Worker | Building 1h Ave G, Va Medical Center Perry Point, Perryville, MD 21902 | 2007-09-21 |
| 1649355454 | Suzanne Greer | Social Worker | Va Hospital- Perry Point, Ave D Building 80, Perryville, MD 21902-4444 | 2006-10-27 |
| 1720171838 | James Morris | Social Worker | 406 N Spring St Ste 2, Perryville, MO 63775-1912 | 2006-10-02 |
| 1396753752 | Dianne Lynn Fox | Social Worker | 505 Cecil Ave, Perryville, MD 21903-2770 | 2006-08-03 |
| 1366793234 | Erica J Oliphant | Social Worker | 515 Broad St, Perryville, MD 21903-2678 | 2012-10-02 |
| 1114247947 | Carol Samuel Robinson | Social Worker | Dept of Veterans Affairs, Building #80, Perryville, MD 21902 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447701 | Constance Fulks | Social Worker | 1141 Wooden Dr, Florissant, MO 63033-5954 | 2020-11-03 |
| 1447850870 | Convergence Counseling Services, LLC | Social Worker | 7612 E 113th St, Kansas City, MO 64134-2946 | 2020-10-26 |
| 1336748599 | Meghan Lyn Mallams | Social Worker | 28 Westwoods Dr Ste 107, Liberty, MO 64068-3520 | 2020-10-20 |
| 1639777154 | Keisa D. Baker | Social Worker | 7716 Arlington Ave, Raytown, MO 64138-1654 | 2020-10-16 |
| 1811595697 | Sarah Nicole Bailey | Social Worker | 27759 Rock Ave, Bell City, MO 63735-8111 | 2020-10-13 |
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1184221368 | Deborah L Tannenbaum, Lcsw, LLC | Social Worker | 3000 Arrow Rock Dr, Saint Charles, MO 63303-6502 | 2020-10-01 |
| 1407463706 | Allison Nichole Kemble | Social Worker | 806 Shawn Ct, Centralia, MO 65240-4320 | 2020-09-30 |
| 1336756949 | Megan Krystal Draper | Social Worker | 8425 Locust St, Kansas City, MO 64131-2223 | 2020-09-28 |
| 1730796541 | Angelita Pritchett | Social Worker | 908 Glencoe, Park Hills, MO 63601-1931 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | PERRYVILLE |
| Zip Code | 63775 |
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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.