Jane A Peach, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9079 Issued in FL

Practice address

2194 A1A Hwy
Suite 204
Indian Harbour Beach, FL 32937-4930

Phone

(321) 848-1971

Fax

(321) 773-5479

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Gee Resolutions, Inc.

  • Mental Health Counselor
  • Rockledge, FL
  • NPI 1730305707
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1679639124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WHITE IBIS LN",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329032097",
            "telephone_number": "321-848-1971",
            "fax_number": "321-773-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 A1A HWY",
            "address_2": "SUITE 204",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374930",
            "telephone_number": "321-848-1971",
            "fax_number": "321-773-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACH",
        "first_name": "JANE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "9079",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "003334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Owchinko, DPT
• Gary Michael Palsis, D.M.D.
• Pamper Your Mind, LLC
• Caitlin Parnofiello
• Pathways Life Coaching & Support Service
• Dariya Marie Peretta, DPM
• Robert Peters, DDS
• Teresa Anne Petzar, PTA
• Stephen Piakis, LDO
• Brian Kelly Pogue, DPT

• Clinical Social Worker in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.