Individual provider Active NPI

Stephany R Peffers, LMSW

  • Clinical Social Worker
  • Atlanta, MI
National Provider Identifier
1316587496
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801113945 Issued in MI
Practice address
11899 M 32
Atlanta, MI 49709-9374
Phone
(989) 785-4855
NPI assigned
Jan 7, 2020
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 6801113945 MI Primary

Addresses

Primary practice location

11899 M 32
Atlanta, MI 49709-9374

Mailing address

PO Box 427
Hillman, MI 49746-0427
Phone (989) 354-2197

Other practice location 1

609 W Central Ave
Mackinaw City, MI 49701-9650
Phone (231) 597-9585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220215002578 MI Practitioner - Clinical Social Worker 1658764626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11899 M
Suite 32
Atlanta, MI 49709-9374
Phone (989) 785-4855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thunder Bay Community Health Service, Inc CurrentSince Jan 11, 2022 Accepting new patients
Thunder Bay Community Health Service, Inc CurrentSince Jan 11, 2022 Accepting new patients

Locations

11899 M 32
Atlanta, MI 49709
Phone (989) 785-4855

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1316587496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497460427",
            "telephone_number": "989-354-2197",
            "fax_number": "989-354-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11899 M 32",
            "city": "ATLANTA",
            "state": "MI",
            "postal_code": "497099374",
            "telephone_number": "989-785-4855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Mackinaw City",
            "state": "MI",
            "postal_code": "497019650",
            "country_code": "US",
            "telephone_number": "231-597-9585",
            "fax_number": "989-734-7390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEFFERS",
        "first_name": "STEPHANY",
        "middle_name": "R",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, MI

Sources for this page

Verify at the official NPI Registry.