JULIETA P PEREZ (NPI# 1588958128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588958128 |
| Entity Type | Individual |
| Full Name | JULIETA P PEREZ |
| Credential | MSW, LCSW |
| Practice Address |
211 E Illinois St Ste L2 Wheaton IL 60187-5403 |
| Practice Telephone | 8002068136 |
| Practice Fax Number | 7085753167 |
| Mailing Telephone | 8002068136 |
| Mailing Fax Number | 7085753167 |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE CLINICAL SOCIAL WORKER | 149.016540 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3020 N Kimball Ave, Chicago, IL 606186812 | 7084651293 | |
| 3125 W Warren Blvd, Chicago, IL 606121817 | 7735679763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104317304 | Julieta Maria Perez | Nurse Practitioner | 84 Highland Ave, Salem, MA 01970-2727 | 2018-05-23 |
| Street Address |
211 E ILLINOIS ST STE L2 |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145104 | Nurturing Families In Illinois | Counselor | 211 E Illinois St Ste L2, Wheaton, IL 60187-5403 | 2019-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| 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 |
|---|---|---|---|---|
| 1891394425 | Christine Evans | Social Worker | 1021 E Illinois St, Wheaton, IL 60187-5727 | 2020-10-24 |
| 1003432345 | Kathryn P Bach | Social Worker | 1608 Cavalier Ct, Wheaton, IL 60189-3106 | 2020-06-23 |
| 1245878438 | Lauren Strong | Social Worker | 1749 S Naperville Rd Ste 106, Wheaton, IL 60189-5892 | 2019-12-18 |
| 1730738808 | Tapestry Counseling, LLC | Social Worker | 107 N Hale St Fl 2, Wheaton, IL 60187-5117 | 2019-09-10 |
| 1407372204 | Patricia E Janosy | Social Worker | 2s533 White Birch Labe, Wheaton, IL 60189 | 2017-08-14 |
| 1467987974 | Ebony Nicole Calloway | Social Worker | 11215 Georgia Ave, Apt 734, Wheaton, MD 20902-4644 | 2017-04-22 |
| 1891236980 | Eva Cozzi | Social Worker | 101 1/2 E Front St Ste 104, Wheaton, IL 60187-5334 | 2017-03-09 |
| 1336691211 | Lorena Audra Vaughn | Social Worker | 0n717 Knollwood Dr, Wheaton, IL 60187-3060 | 2016-10-26 |
| 1124416854 | Katie Cockrell | Social Worker | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2015-01-05 |
| 1649696832 | Larry Westenberg | Social Worker | 1225 S Lorraine Rd, Apt. 119, Wheaton, IL 60189-7064 | 2014-03-11 |
| Find all providers in WHEATON | ||||
Please comment or provide details below to improve the information on JULIETA P PEREZ.
| 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.