Active NPI
Audrey Nicole Peters, LLBSW
- Social Worker
- Detroit, MI
National Provider Identifier
1518409325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 100 River Place Dr Ste 250
Detroit, MI 48207-5402 - Phone
- (313) 871-1805
- NPI assigned
- Nov 10, 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 | MI | Primary |
Addresses
Primary practice location
100 River Place Dr Ste 250
Detroit, MI 48207-5402
Mailing address
2075 20TH St
Wyandotte, MI 48192-3833
Phone (734) 775-6450
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Livonia, MI
- NPI 1417037797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1518409325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 20TH ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481923833",
"telephone_number": "734-775-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RIVER PLACE DR STE 250",
"city": "DETROIT",
"state": "MI",
"postal_code": "482075402",
"telephone_number": "313-871-1805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "AUDREY",
"middle_name": "NICOLE",
"credential": "LLBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-10",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.