Provider Demographics
NPI:1013787845
Name:JUAN ALBERTO PEREZ LMSW PLLC
Entity type:Organization
Organization Name:JUAN ALBERTO PEREZ LMSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-966-0447
Mailing Address - Street 1:3326 WHITE PLAINS RD APT 4F
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-5759
Mailing Address - Country:US
Mailing Address - Phone:646-966-0447
Mailing Address - Fax:
Practice Address - Street 1:3326 WHITE PLAINS RD APT 4F
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-5759
Practice Address - Country:US
Practice Address - Phone:646-966-0447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-03
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty