Individual provider Active NPI

Donetta S Peek, LISW

  • Clinical Social Worker
  • Richmond, KY
National Provider Identifier
1003864604
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252601 Issued in KY
Practice address
401 Highland Park Dr
Richmond, KY 40475-3839
Phone
(859) 626-7700
Fax
(859) 626-7890
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 252601 KY Primary

Addresses

Primary practice location

401 Highland Park Dr
Richmond, KY 40475-3839

Mailing address

1010 Main St S
MC Kee, KY 40447-7089
Phone (859) 626-7700

Other practice location 1

102 Dawn Ln
Waverly, OH 45690-9695
Phone (740) 947-7783

Other identifiers 2

IdentifierTypeStateIssuer
000000216589OtherOHANTHEM
283292000OtherOHMAGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171025003144 KY Practitioner - Clinical Social Worker 0244314029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Help IncorporatedGroup PAC ID 8224946561, 43 clinicians

Practice addresses (Care Compare)

104 Legacy Dr
Berea, KY 40403-9594
Phone (858) 986-2323

202 Kidd Dr
Berea, KY 40403-7000
Phone (859) 986-2323

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-1415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252601KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Help Incorporated CurrentSince Sep 11, 2017 Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated CurrentSince Sep 11, 2017 Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

104 Legacy Dr
Berea, KY 40403
Phone (858) 986-2323

30 Stacy Lane Rd
Irvine, KY 40336
Phone (606) 723-0665

1010 Main St S
McKee, KY 40447
Phone (606) 287-7104

116 Progress Dr
Mount Vernon, KY 40456
Phone (606) 256-2143

480 Main St
Paint Lick, KY 40461
Phone (859) 925-2444

401 Highland Park Dr
Richmond, KY 40475
Phone (859) 626-7700

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003864604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST S",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404477089",
            "telephone_number": "859-626-7700",
            "fax_number": "859-626-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753839",
            "telephone_number": "859-626-7700",
            "fax_number": "859-626-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Dawn Ln",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "OH",
            "postal_code": "456909695",
            "country_code": "US",
            "telephone_number": "740-947-7783",
            "fax_number": "740-947-4226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEEK",
        "first_name": "DONETTA",
        "middle_name": "S",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000216589",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "283292000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.