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NPI Code Detail

MEDICARE: FELIX ALEXANDER PEREZ MSW, LCSW

MEDICARE: FELIX ALEXANDER PEREZ MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerCW017867PA
21041C0700XClinical Social WorkerCW017867PA

General Provider Information

NPI Number : 1659709954
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELIX ALEXANDER PEREZ MSW, LCSW
Provider Business Mailing Address
First Line : 112 E ALLEN ST UNIT 3
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-4189
Country : US
Telephone Number : 215-554-1191
Fax Number :
Provider Business Practice Location Address
First Line : 112 E ALLEN ST UNIT 3
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-4189
Country : US
Telephone Number : 215-554-1191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2013
Last Update Date : 10/27/2023

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