Active NPI
Ebony Dowdell Peterson, LCSW
- Clinical Social Worker
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW007391
- Practice address
- SC House Calls Inc.
111 Doctors Cir.
Columbia, SC 29203 - Phone
- (800) 491-0909
- Fax
- (678) 538-9613
- NPI assigned
- Nov 25, 2020
- Last updated
- Oct 28, 2025
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26463-C | AZ | |
| Clinical Social Worker | 1041C0700X | CSW007391 | GA | Primary |
| Clinical Social Worker | 1041C0700X | TPSW4121 | FL | |
| Contractor | 171W00000X | |||
| Social Worker | 104100000X | CSW007391 | GA |
Addresses
Primary practice location
SC House Calls Inc.
111 Doctors Cir.
Columbia, SC 29203
Mailing address
SC House Calls Inc.
111 Doctors Cir.
Columbia, SC 29203
Phone (800) 491-0909
Other practice location 1
5555 Glenridge Connector Ste 200
Atlanta, GA 30342-4815
Phone (415) 424-4266 ext. 44266
Other practice location 2
475 Biltmore Way Ste 109
Coral Gables, FL 33134-5724
Phone (415) 424-4266 ext. 44266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3372 Peachtree Rd NE
Suite 115
Atlanta, GA 30326-1963
Phone (866) 630-0966
624 Ellis St
Augusta, GA 30901-1434
Phone (800) 491-0909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW007391 | GA | MD | Social Worker |
| 26463-C | AZ | MD | Clinical Social Worker |
| TPSW4121 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Her Wellness Circle, LLC | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
| SC House Calls Inc | Current | Accepting new patients |
Locations
3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900
1109 Medical Center Dr
Ste 2A
Augusta, GA 30909
Phone (706) 901-4242
3605 Sandy Plains Rd
Ste 493
Marietta, GA 30066
Phone (678) 538-9614
111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Interoperability endpoints
- ebony.dowdell.peterson.1@7602.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Your Health Organization
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
GA
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
-
- Mental Health Counselor
- Marietta, GA
- NPI 1184384372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1821692245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SC HOUSE CALLS INC.",
"address_2": "111 DOCTORS CIR.",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "800-491-0909",
"fax_number": "678-538-9613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SC HOUSE CALLS INC.",
"address_2": "111 DOCTORS CIR.",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "800-491-0909",
"fax_number": "678-538-9613"
}
],
"practiceLocations": [
{
"address_1": "5555 Glenridge Connector Ste 200",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303424815",
"country_code": "US",
"telephone_number": "415-424-4266 x44266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "475 Biltmore Way Ste 109",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331345724",
"country_code": "US",
"telephone_number": "415-424-4266 x44266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOWDELL PETERSON",
"first_name": "EBONY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-25",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "26463-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW007391",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "TPSW4121",
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "CSW007391",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.