Lady J Perez in Bergenfield - Clinical

Lady J Perez - NPI 1407013055

Lady J Perez is a Clinical in Bergenfield, New Jersey. Lady J Perez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lady J Perez is 1407013055. The last update date is 2019-03-07.

Lady J Perez's current location address is 112 Columbia Ave, Bergenfield, New Jersey. You can contact this provider via phone number 9173097590. The mailing address for Lady J Perez is 112 Columbia Ave, Bergenfield, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Lady J Perez
Address 112 Columbia Ave, Bergenfield, New Jersey
Phone Number 9173097590
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1407013055
Provider Enumeration Date 2008-05-21
Last Updated Date 2019-03-07

Provider Mailing Address Detail

Address 112 Columbia Ave
City Bergenfield
State New Jersey (NJ)
Post Code 76211211
Phone Number 9173097590
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 81757
Definition:
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, certif

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FAQs about Lady J Perez

What is the unique 10-digit identification code assigned to Lady J Perez by the Centers for Medicare & Medicaid Services?

The Lady J Perez has been issued the NPI (National Provider Identifier) 1407013055, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Lady J Perez is physically located?

The Lady J Perez is situated at the following address: 112 Columbia Ave, Bergenfield, NJ 76211211.

What is Lady J Perez's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lady J Perez is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When was the Lady J Perez's 1407013055 issued?

The Lady J Perez's 1407013055 was issued on 2008-05-21.

As of what date was the information regarding Lady J Perez, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lady J Perez, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-03-07.

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