Provider Demographics
NPI:1043909740
Name:PERLMAN, MASHA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MASHA
Middle Name:
Last Name:PERLMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MASHA
Other - Middle Name:
Other - Last Name:PERLMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PLLC
Mailing Address - Street 1:820 BUDDY HOLLY AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79401-2702
Mailing Address - Country:US
Mailing Address - Phone:806-338-7378
Mailing Address - Fax:
Practice Address - Street 1:820 BUDDY HOLLY AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79401-2702
Practice Address - Country:US
Practice Address - Phone:806-338-7378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1093881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical