Nicole Janet Marie Peeke, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2416 S Main St
Suite a- Choices Program
Santa Ana, CA 92707-3255

Phone

(714) 668-1530

Fax

(714) 668-1531

NPI assigned

Aug 24, 2010

Last updated

Aug 24, 2010By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1356657670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10082",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926270016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 S MAIN ST",
            "address_2": "SUITE A- CHOICES PROGRAM",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073255",
            "telephone_number": "714-668-1530",
            "fax_number": "714-668-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEKE",
        "first_name": "NICOLE",
        "middle_name": "JANET MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Pederson
• Angelica Maria Pedraza
• Sheila Pedraza
• Conrad Rodney Pedroza
• Lorena Pedroza
• Peer Mental Wellness LLC
• Orelious A. Peevy
• Laura Marie Peguero, B.A
• Fatima Pelayo
• Naida Pelayo

• Clinical Social Worker in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.