LAILA SIDDIQUE PEREZ (NPI# 1114350279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114350279 |
| Entity Type | Individual |
| Full Name | LAILA SIDDIQUE PEREZ |
| Credential | LCSW |
| Practice Address |
360 Massachusetts Ave Ste 201 Acton MA 01720 |
| Mailing Address |
360 Massachusetts Ave Ste 201 Acton MA 01720-3750 |
| Practice Telephone | 9787355270 |
| Mailing Telephone | 9787355270 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
360 MASSACHUSETTS AVE STE 201 |
| City | ACTON |
| State | MA |
| Zip Code | 01720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528405123 | Erika Reimers | Social Worker | 360 Massachusetts Ave Ste 201, Acton, MA 01720-3750 | 2013-05-23 |
| 1568085694 | Ashlyn Kapetanakis | Counselor | 360 Massachusetts Ave Ste 201, Acton, MA 01720-3750 | 2020-05-23 |
| 1437709599 | Elizabeth Spruill | Counselor | 360 Massachusetts Ave Ste 201, Acton, MA 01720-3750 | 2019-09-19 |
| 1962051136 | Madelyn Omelchuck | Counselor | 360 Massachusetts Ave Ste 201, Acton, MA 01720-3750 | 2019-09-10 |
| 1912567306 | Jillian Guarino | Counselor | 360 Massachusetts Ave Ste 201, Acton, MA 01720-3750 | 2019-06-18 |
| 1689136046 | Amy Barr | Counselor | 360 Massachusetts Ave Ste 201, Acton, MA 01720-3750 | 2019-04-04 |
| 1134684293 | Laisla Nascimento | Counselor | 360 Massachusetts Ave Ste 201, Acton, MA 01720-3750 | 2019-02-04 |
| 1770069056 | Erica Alberti | Counselor | 360 Massachusetts Ave Ste 201, Acton, MA 01720-3750 | 2018-07-19 |
| 1679059042 | Samantha Keen | Counselor | 360 Massachusetts Ave Ste 201, Acton, MA 01720-3750 | 2018-07-18 |
| 1356849673 | Nicolette Alves | Counselor | 360 Massachusetts Ave Ste 201, Acton, MA 01720-3750 | 2018-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872322 | Gianpiero De Mari | Behavior Technician | 8 Post Office Square Suite 204, Acton, MA 01720 | 2020-02-07 |
| 1871134890 | Rachel Vinicor | Social Worker | 171 Pope Rd., Acton, MA 01720 | 2019-10-01 |
| 1295387991 | Manman Zhang | Nurse Practitioner | Apt B9, 9 Davis Road, Acton, MA 01720 | 2019-07-12 |
| 1215595608 | Karen Weeks | Clinical Medical Laboratory | 526 Main St, One Acton Pl, Suite 102, Acton, MA 01720 | 2019-05-31 |
| 1689165151 | Richard J. Cowen | Psychologist | 16 Charter Road, Acton, MA 01720 | 2018-05-21 |
| 1265929798 | Angela Madge | Psychologist | 525 Massachusetts Ave Ste 101g, Acton, MA 01720 | 2018-04-19 |
| 1811404544 | B-xi Operations Holding Company LLC | Assisted Living Facility | Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 | 2018-01-03 |
| 1396265211 | Kristen Devenezia | Counselor | 360 Massachusetts Avenue, Suite 201, Acton, MA 01720 | 2017-06-21 |
| 1760886592 | Waybond Pllc | Clinic/Center | 31 Powder Mill Rd, Acton, MA 01720 | 2014-10-22 |
| 1760802797 | Kimberly Greene Murachver | Dietitian, Registered | 525 Massachusetts Ave Ste 101c, Acton, MA 01720 | 2014-04-17 |
| Find all providers in zip 01720 | ||||
| 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 |
|---|---|---|---|---|
| 1790328169 | Olivia Mary Divirgilio | Social Worker | 77 Great Rd Ste 203, Acton, MA 01720-5666 | 2019-10-17 |
| 1790250207 | Jessica Bartlett | Social Worker | 56 Robbins St, Acton, MA 01720-2718 | 2018-10-11 |
| 1609350388 | Marcia Lewin-berlin | Social Worker | 21 Half Moon Hl, Acton, MA 01720-2448 | 2018-09-19 |
| 1033692462 | Hannah Bloch | Social Worker | 2 Gregory Ln, Acton, MA 01720-2255 | 2018-09-11 |
| 1649753336 | Dorothy Scotten | Social Worker | 50 Drummer Rd, Acton, MA 01720-5211 | 2018-09-10 |
| 1528556156 | Elizabeth Curtis | Social Worker | 380 Mass Ave, Acton, MA 01720-3743 | 2018-04-30 |
| 1144718909 | Judith D Bakerman | Social Worker | 114 Hayward Rd, Acton, MA 01720-3009 | 2018-04-27 |
| 1528405123 | Erika Reimers | Social Worker | 360 Massachusetts Ave Ste 201, Acton, MA 01720-3750 | 2013-05-23 |
| 1679894588 | Susan Lerner | Social Worker | 25 Black Horse Dr, Acton, MA 01720-2046 | 2010-06-15 |
| 1316265374 | Nicole Jean Larocque | Social Worker | 525 Massachusetts Ave Ste 101f, Acton, MA 01720-2963 | 2010-05-14 |
| Find all providers in ACTON | ||||
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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.