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1932239357 NPI number — EVELYN LIZET PEREZ LCSW

NPI Number: 1932239357
Health Care Provider/Practitioner: EVELYN LIZET PEREZ LCSW

Information about “1932239357” NPI (EVELYN LIZET PEREZ LCSW) exists in 1932239357 in HTML format HTML  |  1932239357 in plain Text format TXT  |  1932239357 in PDF (Portable Document Format) PDF  |  1932239357 in an XML format XML  formats.

NPI Number : 1932239357 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932239357",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PEREZ",
    "FirstName": "EVELYN",
    "MiddleName": "LIZET",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10002 BEN HUR AVE APT B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHITTIER",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90605-3171",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-270-9402",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2450 S ATLANTIC BLVD STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COMMERCE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90040-1200",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-318-9960",
    "PracticeLocationAddressFaxNumber": "323-780-3211",
    "EnumerationDate": "03/06/2007",
    "LastUpdateDate": "12/15/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "ASW 19945",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "27175",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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