Individual provider Active NPI

Peggy Armbruster, LISW

  • Clinical Social Worker
  • Vermilion, OH
National Provider Identifier
1629447420
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I2405820 Issued in OH
Practice address
921 State St
Vermilion, OH 44089-1203
Phone
(440) 427-4058
Fax
(440) 967-9436
NPI assigned
Sep 22, 2015
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 I.2405820 OH
Clinical Social Worker 1041C0700X I2405820 OH Primary

Addresses

Primary practice location

921 State St
Vermilion, OH 44089-1203

Mailing address

7555 Heritage Way
Amherst, OH 44001-9800
Phone (440) 427-4058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241217002840 OH Practitioner - Clinical Social Worker 3577090430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

921 State St
Vermilion, OH 44089-1203
Phone (440) 427-4058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2405820OHMDSocial Worker
I2405820OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Armbruster Counseling & Therapy Services LLC Clinical CurrentSince Oct 23, 2024 Accepting new patients
Bechtel Counseling & Consulting LLC CurrentSince Oct 23, 2024 Accepting new patients

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": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1629447420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 HERITAGE WAY",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440019800",
            "telephone_number": "440-427-4058",
            "fax_number": "440-967-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 STATE ST",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891203",
            "telephone_number": "440-427-4058",
            "fax_number": "440-967-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMBRUSTER",
        "first_name": "PEGGY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2405820",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I2405820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

Verify at the official NPI Registry.