Individual provider Active NPI

Stephanie Peyton, LCSW-QS

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1194255901
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16899 Issued in FL
Practice address
4237 Salisbury Rd Ste 302
Jacksonville, FL 32216-0908
Phone
(904) 414-2524
Fax
(904) 431-3542
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 SW16899 FL Primary

Addresses

Primary practice location

4237 Salisbury Rd Ste 302
Jacksonville, FL 32216-0908

Mailing address

4237 Salisbury Rd Ste 302
Jacksonville, FL 32216-0908
Phone (904) 414-2524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200717001142 FL Practitioner - Clinical Social Worker 3476977844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Perspectives Anew Therapy LLCGroup PAC ID 2567886930, 2 clinicians

Practice addresses (Care Compare)

476 Portobello Dr
Jacksonville, FL 32221-3263
Phone (904) 414-3359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW16899FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Perspectives Anew Therapy LLC Clinical CurrentSince Jun 1, 2020 Accepting new patients

Locations

4237 Salisbury Rd
Ste 302
Jacksonville, FL 32216
Phone (904) 296-6884

8825 Perimeter Park Blvd
Ste 601
Jacksonville, FL 32216
Phone (904) 419-7327

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.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1194255901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 SALISBURY RD STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160908",
            "telephone_number": "904-414-2524",
            "fax_number": "904-431-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 SALISBURY RD STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160908",
            "telephone_number": "904-414-2524",
            "fax_number": "904-431-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "STEPHANIE",
        "credential": "LCSW-QS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.