Individual provider Active NPI

Kathleen Erin Peters, BSW, LSW

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1144745407
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.0500478 Issued in OH
Practice address
4633 Aicholtz Road
Cincinnati, OH 45244
Phone
(513) 752-1555
Fax
(613) 688-8155
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.0500478 OH Primary

Addresses

Primary practice location

4633 Aicholtz Road
Cincinnati, OH 45244

Mailing address

4629 Aicholtz Road
Cincinnati, OH 45244
Phone (513) 752-1555

Other practice location 1

555 Cincinnati Batavia Pike
Cincinnati, OH 45244-1557
Phone (513) 752-1555 ext. 5063

Other practice location 2

551 Cincinnati Batavia Pike
Cincinnati, OH 45244-1518
Phone (513) 752-1555 ext. 5063

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

LicenseStateTypeSpecialty
S.0500478OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144745407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 AICHOLTZ ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45244",
            "telephone_number": "513-752-1555",
            "fax_number": "513-688-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 AICHOLTZ ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45244",
            "telephone_number": "513-752-1555",
            "fax_number": "613-688-8155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Cincinnati Batavia Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452441557",
            "country_code": "US",
            "telephone_number": "513-752-1555 x5063",
            "fax_number": "613-688-8155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Cincinnati Batavia Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452441518",
            "country_code": "US",
            "telephone_number": "513-752-1555 x5063",
            "fax_number": "613-688-8155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KATHLEEN",
        "middle_name": "ERIN",
        "credential": "BSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0500478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.