Christine M Peters

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.2106677 Issued in OH

Practice address

5565 Airport Hwy Ste 100
Toledo, OH 43615-7391

Phone

(419) 720-5800

NPI assigned

Aug 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Willow Center

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1336596550
  NPD (past)

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1104591056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 HAZELTINE APT 201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157753",
            "telephone_number": "248-881-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 AIRPORT HWY STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157391",
            "telephone_number": "419-720-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2106677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christine@willowcenter.com",
            "affiliation": "Y",
            "endpointDescription": "Business email address",
            "affiliationName": "The Willow Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5565 Airport Hwy Ste 100",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436157391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Marie Perz, LSW
• Ann M Peter
• Christle Rose Peter, ODE IS K-12
• Mary Ann Peter, LSW
• Morgan Dale Peterman, MSW LSW
• Colleen K Peters, CRNA
• Gerri Evette Peters
• Kayla Jordan Peters, PMHNP-BC
• Lisa Peters, CNP
• Tara Ida Renee Peters, OTR/L

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.