Active NPI
Ami Marie Peacock, LISW-S
- Social Worker
- Columbus, OH
National Provider Identifier
1114284619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0009629
- Practice address
- 921 Chatham LN Ste 112
Columbus, OH 43221-2418 - Phone
- (614) 754-7648
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0009629 | OH | Primary |
Addresses
Primary practice location
921 Chatham LN Ste 112
Columbus, OH 43221-2418
Mailing address
1330 Lane on the LK
Columbus, OH 43235-7580
Phone (216) 408-9497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0009629 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Weltner-Brunton, PH.D., Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Columbus, OH
- NPI 1255479127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1114284619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 LANE ON THE LK",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432357580",
"telephone_number": "216-408-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 CHATHAM LN STE 112",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432212418",
"telephone_number": "614-754-7648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "AMI",
"middle_name": "MARIE",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "0009629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.