Peggy O'Donnell

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0007131 Issued in OH

Practice address

17001 Fernway Rd
Shaker Heights, OH 44120-3321

Phone

(216) 406-6293

NPI assigned

Mar 27, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1265283527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16603 HARVARD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17001 FERNWAY RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203321",
            "telephone_number": "216-406-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "PEGGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0007131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila Rae November, M.ED., BCBA, COBA
• Novus Homecare LLC
• Ada Nworie, RN, PHMNP
• Daniel O'Brien, LSW
• Elisabeth O'Connell, LCSW-R
• Jennifer M O'Keefe, LPCC-S
• Brandon Michael O'Neill, COTA
• Austin Brent Oberfeld, PSYD
• Jennifer Oconnor
• Ohio CVS Stores LLC

• Social Worker in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.