Individual provider Active NPI

Michael A Peyton, LCSW

  • Clinical Social Worker
  • Bear, DE
National Provider Identifier
1306125844
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000830 Issued in DE
Practice address
120 Brittany Way
Mansion Farm
Bear, DE 19701-2096
Phone
(302) 836-5311
NPI assigned
Aug 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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 Q1-0000830 DE Primary

Addresses

Primary practice location

120 Brittany Way
Mansion Farm
Bear, DE 19701-2096

Mailing address

120 Brittany Way
Mansion Farm
Bear, DE 19701-2096
Phone (302) 836-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20180607001846 DE Practitioner - Clinical Social Worker 2961767215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diamond State Counseling LLCGroup PAC ID 1850700899, 6 clinicians

Practice addresses (Care Compare)

4550 Linden Hill Rd
Suite 152
Wilmington, DE 19808-2909
Phone (302) 683-1055

4550 New Linden Hill Rd
Suite 152
Wilmington, DE 19808-2909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond State Counseling, LLC CurrentSince Jan 18, 2021 Accepting new patients

Locations

2644 Capitol Trl
Ste 250
Newark, DE 19711
Phone (302) 683-1055

4550 Linden Hill Rd
Ste 152
Wilmington, DE 19808
Phone (302) 683-1055

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDFCAD

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": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1306125844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRITTANY WAY",
            "address_2": "MANSION FARM",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012096",
            "telephone_number": "302-836-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BRITTANY WAY",
            "address_2": "MANSION FARM",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012096",
            "telephone_number": "302-836-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

Verify at the official NPI Registry.