Active NPIIndividual providerSole proprietor

Mr. Jason M Perez, LCSW

Social Worker, Clinical in Kensington, Connecticut

NPI Number1083963771
Practice location
26 Chamberlain Hwy, Kensington, CT 06037-1921
Fax
860-893-0046
Last updated
May 5, 2017

Jason M. Perez is a Social Worker, Clinical based in Kensington, CT. Jason M. Perez practices in Kensington, CT and has the professional credentials of LCSW. The NPI Number for Jason M. Perez is 1083963771 and holds a License No. 009769 (CT). The current practice location address for Jason M. Perez is 26 Chamberlain Hwy, Kensington, CT 06037-1921 and can be reached out via phone at 860-893-0040 and via fax at 860-893-0046.

Provider Profile Details

NPI Number
1083963771
Provider Name
Jason M. Perez
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
26 Chamberlain Hwy, Kensington, CT 06037-1921
Phone Number
860-893-0040
Fax Number
860-893-0046
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 10, 2012
Last Update Date
May 5, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Chamberlain Hwy
Kensington, CT 06037-1921
Zip
06037-1921
Phone Number
860-893-0040
Fax Number
860-893-0046
Kensington, CT 06037Get directions →

Provider Business Mailing Address Details

Address
26 Chamberlain Hwy
Kensington, CT 06037-1921
City
Kensington
State
CT
Zip
06037-1921
Phone Number
860-893-0040
Fax Number
860-893-0046

License Information

License State (1)
NY
Taxonomy (1)
Social Worker · 104100000X
License Number (3)
009769
License State (3)
CT
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jason M Perez, LCSW?

The NPI number of Mr. Jason M Perez, LCSW is 1083963771. It was assigned on September 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Jason M Perez, LCSW?

Mr. Jason M Perez, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 009769.

Where does Mr. Jason M Perez, LCSW practice?

The practice location is 26 Chamberlain Hwy, Kensington, CT 06037-1921. The office can be reached at 860-893-0040 (phone) or 860-893-0046 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083963771 directly on the NPPES registry website.

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