Active NPI
Kimberly G Peters, LSW
- Social Worker
- Dayton, OH
National Provider Identifier
1285176545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0027078
- Practice address
- 601 S Edwin C Moses Blvd
Fourth Floor, Samaritan Behavioral Health, Inc.
Dayton, OH 45417-3424 - Phone
- (937) 734-8333
- Fax
- (937) 734-8269
- NPI assigned
- Nov 17, 2016
- 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 | S.0027078 | OH | Primary |
Addresses
Primary practice location
601 S Edwin C Moses Blvd
Fourth Floor, Samaritan Behavioral Health, Inc.
Dayton, OH 45417-3424
Mailing address
601 S Edwin C Moses Blvd
Fourth Floor, Samaritan Behavioral Health, Inc
Dayton, OH 45417-3424
Phone (937) 734-8333
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 |
|---|---|---|---|
| S.0027078 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1285176545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S EDWIN C MOSES BLVD",
"address_2": "FOURTH FLOOR, SAMARITAN BEHAVIORAL HEALTH, INC",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173424",
"telephone_number": "937-734-8333",
"fax_number": "937-734-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S EDWIN C MOSES BLVD",
"address_2": "FOURTH FLOOR, SAMARITAN BEHAVIORAL HEALTH, INC.",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173424",
"telephone_number": "937-734-8333",
"fax_number": "937-734-8269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "KIMBERLY",
"middle_name": "G",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0027078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.