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

Mauricio Perez, LICSW

Individual provider Clinical Social Worker · NPI 1366871824

Mauricio Perez, LICSW is a Clinical Social Worker in Puyallup, Washington. Qualified in 2019, 7 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2013
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12020 Sunrise Blvd E Apt J107
Puyallup, WA 98374-8017
Phone: (253) 797-0331
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61455329 (WA)

Record details

NPI number1366871824
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 5, 2013
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Puyallup