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ANDREA GUADALUPE PEREZ PORTILLO
NPI 1639624489
Social Worker - Clinical in Hercules, CA

Active since August 22, 2016
1375 SYCAMORE AVE APT 211, HERCULES, CA 94547(510) 253-5199 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2018, Jan 19, 2017, Aug 22, 2016 (3 updates tracked since 2016).

About Andrea Guadalupe Perez Portillo NPPES

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

ANDREA GUADALUPE PEREZ PORTILLO (NPI 1639624489) is an individual clinical provider in Hercules, California, licensed in California (96134) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1639624489
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANDREA GUADALUPE PEREZ PORTILLO
Location Address1375 SYCAMORE AVE APT 211Hercules, CA 94547-5519
Mailing Address1375 Sycamore Ave Apt 211Hercules, CA 94547-5519 · (510) 253-5199
Phone(510) 253-5199
Sole ProprietorNo
Enumeration DateAugust 22, 2016
Last NPPES UpdateFebruary 20, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1639624489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 96134
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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 74204 (CA)
Also ListedSocial WorkerTaxonomy 104100000X · License 74204 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 74204 (CA)
1375 SYCAMORE AVE APT 211, Hercules, CA 94547
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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 Andrea Perez Portillo's NPI number?

The NPI number for Andrea Perez Portillo is 1639624489. It was assigned to this individual provider in the NPPES registry on August 22, 2016.

Where is Andrea Perez Portillo located?

Andrea Perez Portillo practices at 1375 Sycamore Ave Apt 211, Hercules, CA 94547. The listed phone number is (510) 253-5199.

What is Andrea Perez Portillo's specialty?

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

When was this NPI record last updated?

The NPPES record for Andrea Perez Portillo was last updated on February 20, 2024. 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.