Individual provider Active NPI

Ebony Dowdell Peterson, LCSW

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1821692245
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007391 Issued in GA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210402000012 GA Practitioner - Clinical Social Worker 7214344563 Reassigns benefits to 2 organizations

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
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

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

LicenseStateTypeSpecialty
CSW007391GAMDSocial Worker
26463-CAZMDClinical Social Worker
TPSW4121FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Her Wellness Circle, LLC CurrentSince Jan 2, 2022 Accepting new patients
SC House Calls Inc CurrentSince Oct 7, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Jul 21, 2021 Accepting new patients
SC House Calls Inc CurrentSince Oct 7, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.