Peggy Davenport, LISW
Individual provider Active NPI Clinical Social Worker · Madison, OH
NPI 1386844488 · NPPES record last updated Nov 11, 2008
Key facts
- NPI
- 1386844488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I0700253 (OH)
- Practice address
- 15 W Main St
Madison, OH 44057-3125 - Phone
- (440) 227-9999
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0700253 | OH | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0700253 | OH | Yes |
Addresses
Primary practice location
15 W Main St
Madison, OH 44057-3125
Mailing address
15 W Main St
Madison, OH 44057-3125
Phone (440) 227-9999
Other providers in Madison, OH
- Jessica Cook
- Shawn Cooper
- Noah Anthony Corbett
- Crystals Promise LLC
- CW Opco, LLC
- Marie J Dehaas/ Dehaas Family Counseling
- Lindsey Deitmen
- Kelden Del Vecchio
- Divine Living of Madison
- Dixon Family Counseling, Inc
All providers in Madison, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.