Active NPI
Deborah A Peron, LSW,OCPSI
- Clinical Social Worker
- Springboro, OH
National Provider Identifier
1801065222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 30182
- Practice address
- 50 Greenwood LN
Springboro, OH 45066-3033 - Phone
- (937) 746-1154
- Fax
- (937) 746-8523
- NPI assigned
- Feb 29, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1039-S07 | OH | |
| Clinical Social Worker | 1041C0700X | 30182 | OH | Primary |
Addresses
Primary practice location
50 Greenwood LN
Springboro, OH 45066-3033
Mailing address
107 Oregonia Rd FL 2
Lebanon, OH 45036-3903
Phone (513) 695-2411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000375920 | Other | ANTHEM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1039-S07 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 30182 | OH | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1801065222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 OREGONIA RD FL 2",
"city": "LEBANON",
"state": "OH",
"postal_code": "450363903",
"telephone_number": "513-695-2411",
"fax_number": "513-695-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 GREENWOOD LN",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450663033",
"telephone_number": "937-746-1154",
"fax_number": "937-746-8523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERON",
"first_name": "DEBORAH",
"middle_name": "A",
"credential": "LSW,OCPSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "1039-S07",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "30182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000375920",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.