Ebony Peak, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1901776 Issued in OH

Practice address

7373 Brookcrest Dr Ste 305
Cincinnati, OH 45237-3455

Phone

(513) 445-2053

NPI assigned

Mar 3, 2020

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

Medicare enrollment (NPD)

Not 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.

• Divine Life Therapeutic Solutions LLC.

  • Clinical Social Worker
  • Cincinnati, OH
  • NPI 1548023906
  NPD Authorized official
• Poppy'S Therapeutic Corner, LLC

  • Community/Behavioral Health Agency
  • Springdale, OH
  • NPI 1447821624
  NPD (past)

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1780219477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 BROOKCREST DR STE 305",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373455",
            "telephone_number": "513-570-4068",
            "fax_number": "513-672-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 BROOKCREST DR STE 305",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373455",
            "telephone_number": "513-445-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAK",
        "first_name": "EBONY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Peace, LPN
• Peaceful Tranquility Counseling, LLC
• Anne Barrow Peach, CPNP-AC
• Elizabeth Elaine Peach, MS, CGC
• Sara Lauren Peacock, MS, RD, LD
• Meggan Peak, MD
• Mitchell Peake
• Paula L Peake, MD
• Demar M Peaks
• Pearce Dental Group, LLC

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.