CARMEN G PEREZ (NPI# 1639634876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639634876 |
| Entity Type | Individual |
| Full Name | CARMEN G PEREZ |
| Credential | LCSW |
| Practice Address |
332 S Michigan Ave Chicago IL 60604-4434 |
| Mailing Address |
2605 W Berwyn Ave Chicago IL 60625-3301 |
| Practice Telephone | 8886604425 |
| Mailing Telephone | 4013398212 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149-005477 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588193577 | Carmen Perez | Specialist/Technologist | University of Idaho 709 South Deakin St, Moscow, ID 83844-0001 | 2017-06-05 |
| 1679694731 | Carmen Perez | Pediatrics | 1221 Calle Nicolas Aguayo, Urb El Comandante, Rio Piedras, PR 00924-3657 | 2007-04-03 |
| 1528070695 | Carmen Perez | Nurse Practitioner | 2204 Arvell St, Toms River, NJ 08755-1375 | 2006-08-13 |
| 1982670790 | Carmen Perez | Internal Medicine | 810 Se Military Dr, San Antonio, TX 78214-2823 | 2006-02-23 |
| 1568441996 | Carmen Perez | Occupational Therapist | 1480 W 68 St. #101, Hialeah, FL 33014 | 2006-01-13 |
| 1548262215 | Carmen Anna Perez | General Practice | Carr. 474 Barrio Galateo Bajo, Buzon 181, Isabela, PR 00662-3948 | 2005-08-12 |
| 1265064406 | Carmen Perez | Nurse Practitioner | 1502 Village Oak Ln, Kissimmee, FL 34746-6558 | 2020-02-05 |
| 1013416049 | Carmen Leticia Perez | Technician | 1951 Stella Lake St, Las Vegas, NV 89106-2114 | 2018-02-05 |
| 1881066611 | Carmen Perez | Counselor | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2015-10-20 |
| 1932587292 | Carmen Perez | Counselor | 680 Wilson Ave, Novato, CA 94947-3825 | 2015-05-07 |
| Street Address |
332 S MICHIGAN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60604-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699094979 | Steven K White | Family Medicine | 332 S Michigan Ave, Suite 1032-w702, Chicago, IL 60604-4434 | 2010-05-25 |
| 1750993168 | Propel Psychotherapy, Pllc | Clinic/Center | 332 S Michigan Ave, Lower Level - P807, Chicago, IL 60604 | 2020-08-18 |
| 1053966606 | Jessica Rae Delgado | Nurse Practitioner | 332 S Michigan Ave, Chicago, IL 60604-4434 | 2019-08-09 |
| 1285287003 | Emily Anne Tinley | Social Worker | 332 S Michigan Ave, Chicago, IL 60604-4434 | 2019-07-21 |
| 1376000513 | Sme Illinois PC | General Practice | 332 S Michigan Ave, Chicago, IL 60604-4434 | 2019-02-25 |
| 1881168151 | Lisa Gail Anger | Nurse Practitioner | 332 S Michigan Ave, Chicago, IL 60604-4434 | 2019-01-19 |
| 1417460502 | Jay Declarador | Nurse Practitioner | 332 S Michigan Ave, Chicago, IL 60604-4434 | 2017-11-10 |
| 1033646773 | Mary Ann Avila-cantore | Registered Nurse | 332 S Michigan Ave, 1100, Chicago, IL 60604-4434 | 2017-05-12 |
| 1760939623 | The Moodo Insurance Group | Supports Brokerage | 332 S Michigan Ave, Ste 1032, Chicago, IL 60604-4434 | 2016-09-07 |
| 1700233269 | Christopher Wells Winters | Social Worker | 332 S Michigan Ave, Suite 1024, Chicago, IL 60604-4434 | 2016-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750853719 | Michael Cramer | Nurse Practitioner | 322 S. Michigan Ave, Suite 1100, Chicago, IL 60604 | 2018-12-31 |
| 1174079883 | Cardinal Technical Sc | Specialist | 208 Lasalle Street, Suite 214, Chicago, IL 60604 | 2016-09-01 |
| 1427412436 | Your Choice Homecare, Inc. | Home Health | 332 S. Michigan Ave., Suite 1032-y43, Chicago, IL 60604 | 2016-04-06 |
| 1548634843 | Catherine Ranieri | Counselor | 53 W Jackson Blvd Ste 1625, Chicago, IL 60604 | 2015-11-24 |
| 1356710701 | Otis Peeples | Counselor | 134 N Lasalle Suite 400, Chicago, IL 60604 | 2015-09-16 |
| 1124495916 | Te You Moore | Counselor | 53 W Jackson Blvd Ste 1360, Chicago, IL 60604 | 2015-08-27 |
| 1992187686 | Kathryn Weaver | Psychiatry & Neurology | 343 South Dearborn Street Apt # 304, Chicago, IL 60604 | 2015-06-18 |
| 1700162583 | Tracy Bisterfeldt | Psychologist | 53 W. Jackson Blvd., Unit 635, Chicago, IL 60604 | 2011-10-25 |
| 1619201084 | Jennifer Gurski | Social Worker | 53 W. Jackson Blvd, Chicago, IL 60604 | 2009-10-01 |
| 1578736252 | Richard A Reschke | Naprapath | 141 W. Jackson Boulevard, Suite 2170, Chicago, IL 60604 | 2008-04-02 |
| Find all providers in zip 60604 | ||||
| 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 |
|---|---|---|---|---|
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1164022422 | Brittany Lauren Gatchell | Social Worker | 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 | 2020-10-27 |
| 1467052803 | Seri Elaine Porter | Social Worker | 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 | 2020-10-26 |
| 1255930707 | Emily Ehrens | Social Worker | 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 | 2020-10-25 |
| 1316546955 | Yesenia Maldonado | Social Worker | 3922 N Sayre Ave, Chicago, IL 60634-2329 | 2020-10-24 |
| 1144829201 | Andrea Hohf, Mscd, Lcsw | Social Worker | 564 W Randolph St Ste 248, Chicago, IL 60661-2218 | 2020-10-20 |
| 1215536693 | Miracleworks Therapy & Consulting LLC | Social Worker | 2138 S Indiana Ave, Chicago, IL 60616-4930 | 2020-10-18 |
| 1104425552 | Fifth Star Collective, LLC | Social Worker | 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 | 2020-10-17 |
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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.