Look up the most recent NPI and PECOS records

Angela Perich

Social Worker

Behavioral Health & Social Service Providers

217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6277

PECOS Enrollment

Based on the most recent information from CMS, provider Angela Perich does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1114032604
Provider Type
Individual
Full Name
Perich, Angela
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
8/21/2006
Last Updated
7/8/2007

Contact Information

Practice Location

217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6277

(718) 963-4430

(718) 963-0814

Mailing Location

145 W 15th St, 2nd Floor, New York, NY 10011-6701

(212) 924-6324

(212) 691-5635

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 039042 New York

Provider Identifiers

ID	Description	Issuer
ID 040426033008	Description Other	Issuer FIDELIS PROVIDER NUMBER New York

Angela Perich

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Nordlander, Elizabeth Kathryn

Sallick, Margaret Ellen

Greenberg, Myron

Smalberg, Fallon Beth

Budhan, Jennifer S

Krell, Andrew

Mazza, Anthony

Gray, Michael A

Juarez-Karic, Abigail

Andres, Elena