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

Last updated

Aug 12, 2021By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Willow Center

  dba Erin Wiley LLC

  • 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.