Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alfonso A Perillo, LICSW

Individual provider Clinical Social Worker · NPI 1235611583

Alfonso A Perillo, LICSW is a Clinical Social Worker in Peabody, Massachusetts. Qualified in 1990, 36 years ago. Practices with North Shore Medical Center, Inc, a 44-clinician group and offers telehealth. Licensed in Massachusetts.

Years since qualifying
36
Licensed in
MA
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1 Essex Center Dr
Peabody, MA 01960-2901
Phone: (781) 744-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 117264 (MA)

Record details

NPI number1235611583
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 4, 2018
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021
Mailing address1 Essex Center Dr, Peabody, MA 01960-2901

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice North Shore Medical Center, Inc. — 44 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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