CONCEPCION PEREZ EBRAHIMI (NPI# 1750709416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750709416 |
| Entity Type | Individual |
| Full Name | CONCEPCION PEREZ EBRAHIMI |
| Credential | M.A. |
| Practice Address |
546 Nw University Blvd Suite202 Port Saint Lucie FL 34986-2286 |
| Mailing Address |
4740 N State Road 7 201 Lauderdale Lakes FL 33319-5839 |
| Practice Telephone | 7723616767 |
| Practice Fax Number | 9544973857 |
| Mailing Telephone | 9544864005 |
| Mailing Fax Number | 9544973857 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
546 NW UNIVERSITY BLVD SUITE202 |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34986-2286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407217169 | Ashley Noelle Bassett | Social Worker | 546 Nw University Blvd, Suite 103, Port Saint Lucie, FL 34986-2286 | 2016-03-09 |
| 1174896468 | Jaime Mazzocchi | Counselor | 546 Nw University Blvd, Port Saint Lucie, FL 34986-2286 | 2012-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390666 | Mery Quezada | Case Manager/Care Coordinator | 3380 Sw Crestview Rd, Port Saint Lucie, FL 34953-3538 | 2020-06-15 |
| 1194361303 | Junior Jean-charles | Case Manager/Care Coordinator | 3422 Sw Emden St, Port Saint Lucie, FL 34953-4944 | 2019-11-22 |
| 1689114365 | Angela Maria Matteo | Case Manager/Care Coordinator | 2374 Sw Freeman Street, Port Saint Lucie, FL 34953-2251 | 2017-03-01 |
| 1760830517 | Elizabeth Vega-valentin | Case Manager/Care Coordinator | 690 Sw Old Briar Ave, Port Saint Lucie, FL 34953-6347 | 2016-06-01 |
| 1487001640 | Elliott J. Perrin | Case Manager/Care Coordinator | 1749 Sw Catalonia St, Port Saint Lucie, FL 34987-2072 | 2016-05-18 |
| 1689052508 | Carla Pilato | Case Manager/Care Coordinator | 155 Nw Swann Mill Cir, Port Saint Lucie, FL 34986-3591 | 2015-05-12 |
| 1003163155 | Matilde Teresa Barksdale | Case Manager/Care Coordinator | 5818 Nw Beckham Ct, Port Saint Lucie, FL 34986-4146 | 2012-08-08 |
| 1780960435 | Nell Wilkins | Case Manager/Care Coordinator | 3461 Sw Europe St, Port Saint Lucie, FL 34953-4620 | 2011-10-26 |
| 1962601401 | Kristine Znne Ziegler | Case Manager/Care Coordinator | 501 Sw Bailey Ter, Port Saint Lucie, FL 34953-2918 | 2007-07-14 |
| 1285259440 | Larissa Valbrun | Case Manager/Care Coordinator | 567 Nw Lake Whitney Pl Ste 101, Port Saint Lucie, FL 34986-1629 | 2020-06-13 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34986 |
Please comment or provide details below to improve the information on CONCEPCION PEREZ EBRAHIMI.
| 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.