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MAURICIO PEREZ LICSW
NPI 1366871824
Social Worker - Clinical in Puyallup, WA

Active since November 05, 2013PECOS EnrolledAccepts Medicare Assignment
12020 SUNRISE BLVD E APT J107, PUYALLUP, WA 98374(253) 797-0331 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 5, 2023, Feb 26, 2019, Jan 2, 2019 (3 updates tracked since 2019).

About Mauricio Perez Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAURICIO PEREZ LICSW (NPI 1366871824) is an individual clinical provider in Puyallup, Washington, licensed in Washington (LW61455329) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366871824
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMAURICIO PEREZCredential: LICSW
Location Address12020 SUNRISE BLVD E APT J107Puyallup, WA 98374-8017
Mailing Address12020 Sunrise Blvd E Apt J107Puyallup, WA 98374-8017 · (253) 797-0331
Phone(253) 797-0331
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 5, 2013
Last NPPES UpdateDecember 5, 20233 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1366871824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW61455329
Definition
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.
12020 SUNRISE BLVD E APT J107, Puyallup, WA 98374
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mauricio Perez Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587005806
PECOS Enrollment IDI20240516003120
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mauricio Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Therapy Group PC
49 mi
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mauricio Perez's NPI number?

The NPI number for Mauricio Perez is 1366871824. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Mauricio Perez located?

Mauricio Perez practices at 12020 Sunrise Blvd E Apt J107, Puyallup, WA 98374. The listed phone number is (253) 797-0331.

What is Mauricio Perez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mauricio Perez enrolled in Medicare?

Yes. Mauricio Perez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mauricio Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mauricio Perez reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mauricio Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mauricio Perez accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Mauricio Perez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mauricio Perez was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.