MR. JASON M. PEREZ (NPI# 1083963771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083963771 |
| Entity Type | Individual |
| Full Name | MR. JASON M. PEREZ |
| Credential | LCSW |
| Practice Address |
26 Chamberlain Hwy Kensington CT 06037-1921 |
| Practice Telephone | 8608930040 |
| Practice Fax Number | 8608930046 |
| Mailing Telephone | 8608930040 |
| Mailing Fax Number | 8608930046 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2017-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | NY | Behavioral Health & Social Service Providers | |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
009769 | CT | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760809016 | Jason Adam Perez | Counselor | 9716 Ann Arbor Ln, Las Vegas, NV 89134-0427 | 2014-03-25 |
| 1851889919 | Jason D Perez | Psychologist | 3406 Glacier Hwy, Juneau, AK 99801-7251 | 2018-04-24 |
| 1124491303 | Jason A Perez | Nurse Anesthetist, Certified Registered | 10800 Midlothian Tpke, Suite 207, North Chesterfield, VA 23235-4724 | 2015-11-10 |
| 1952718272 | Jason Perez | Student in an Organized Health Care Education/Training Program | 2225 Ponce Byp, 407, Ponce, PR 00717-1321 | 2014-07-18 |
| 1225452097 | Jason Yamil Perez I | Student in an Organized Health Care Education/Training Program | 142 Crescent St, Second Floor, Brockton, MA 02302-3104 | 2014-02-13 |
| 1316064207 | Jason Sanchez Perez | Counselor | 225 37th Avenue, 3rd Floor, San Mateo, CA 94403 | 2007-03-23 |
| Street Address |
26 CHAMBERLAIN HWY |
| City | KENSINGTON |
| State | CT |
| Zip Code | 06037-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023126323 | Carol G. Lamson | Social Worker | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2006-08-27 |
| 1306180542 | Jacqueline C Martin | Nurse Practitioner | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2012-11-10 |
| 1972620961 | Paragon Behavioral Health, LLC | Nurse Practitioner | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2007-03-23 |
| 1356468417 | Paragon Behavioral Health, LLC | Psychiatry & Neurology | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2007-03-23 |
| 1023135019 | Paragon Behavioral Health, LLC | Psychologist | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2007-03-23 |
| 1083731079 | Paragon Behavioral Health, LLC | Social Worker | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2007-03-23 |
| 1912058751 | Erin Leah Martin | Social Worker | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2007-01-16 |
| 1144304791 | Barbara Ann Haymes Brien | Social Worker | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2006-10-24 |
| 1699858886 | Sue Barba | Nurse Practitioner | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2006-10-23 |
| 1255414751 | Gerson Marc Sternstein | Psychiatry & Neurology | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517418 | Arthur E Roy | Specialist/Technologist | 95 Winchell Dr, Kensington, CT 06037 | 2019-06-20 |
| 1811483498 | Michelle E Lipka | Dietitian, Registered | Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 | 2018-07-06 |
| 1659810539 | Allison Arel Jerolmon | Behavioral Analyst | 68 Hart Street, Berlin, CT 06037 | 2017-02-13 |
| 1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
| 1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
| 1194083667 | Stanley Peter Filewicz Jr. | Orthopaedic Surgery | 1224 Farmington Ave., Unit A, Berlin, CT 06037 | 2012-05-02 |
| 1710269519 | Marie Wallace | Speech-Language Pathologist | 077 Worthington Point Road, Berlin, CT 06037 | 2011-09-16 |
| 1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
| 1326288655 | Jill Foley | Acupuncturist | 355 New Britain Rd., Kensington, CT 06037 | 2009-02-26 |
| 1194985457 | Bowers Health Care Facilities Inc | Custodial Care Facility | 316 Berlin Street, Berlin, CT 06037 | 2008-06-11 |
| Find all providers in zip 06037 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391704 | Zena Carmel-jessup | Social Worker | 3800 Howard Ave Ste 1, Kensington, MD 20895-2443 | 2020-09-16 |
| 1912518242 | Grace Evelyn Beason | Social Worker | 3 Hoosac Rd, Kensington, NH 03833-6735 | 2020-08-11 |
| 1841822186 | Ann M Lee | Social Worker | 10400 Connecticut Ave Ste 215, Kensington, MD 20895-3941 | 2020-02-05 |
| 1386150548 | Shannon Sampedro | Social Worker | 10605 Concord St Ste 207, Kensington, MD 20895-2526 | 2017-12-22 |
| 1073036778 | Andrea Zawatsky | Social Worker | 20895 Concord St, 207, Kensington, MD 20895 | 2017-07-25 |
| 1205287778 | Marc H. Minkin, Psychotherapist | Social Worker | 10711 Pearson St, Kensington, MD 20895-2230 | 2016-06-27 |
| 1376912626 | Anna Kholodnov | Social Worker | 10410 Kensington Pkwy Ste 223, Kensington, MD 20895-2947 | 2015-09-16 |
| 1568848836 | Leanora Legrand | Social Worker | 10 Hilliard Road, Kensington, NH 03833 | 2015-08-10 |
| 1730505744 | Claire Lerner | Social Worker | 3841 Farragut Avenue, Abrams and Associates, Kensington, MD 20895 | 2014-03-14 |
| 1922337401 | Esther Klara Brunner-kish | Social Worker | 4100 Mitscher Ct, Kensington, MD 20895-1307 | 2009-12-14 |
| Find all providers in KENSINGTON | ||||
| City | KENSINGTON |
| Zip Code | 06037 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.