Individual provider Active NPI

Deborah A Peron, LSW,OCPSI

  • Clinical Social Worker
  • Springboro, OH
National Provider Identifier
1801065222
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30182 Issued in OH
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

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000375920OtherANTHEM

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

LicenseStateTypeSpecialty
1039-S07OHMDAddiction (Substance Use Disorder) Counselor
30182OHMDPersonal 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.

Verify at the official NPI Registry.