Active NPI
Mary C. Peacock, MSW, LMSW, ACSW
- Clinical Social Worker
- Battle Creek, MI
National Provider Identifier
1881675668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801014879
- Practice address
- 9 Heritage Oak LN
Suite 9
Battle Creek, MI 49015-4281 - Phone
- (269) 979-4800
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801014879 | MI | Primary |
Addresses
Primary practice location
9 Heritage Oak LN
Suite 9
Battle Creek, MI 49015-4281
Mailing address
9 Heritage Oak LN
Suite 9
Battle Creek, MI 49015-4281
Phone (269) 979-4800
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1881675668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HERITAGE OAK LN",
"address_2": "SUITE 9",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490154281",
"telephone_number": "269-979-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HERITAGE OAK LN",
"address_2": "SUITE 9",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490154281",
"telephone_number": "269-979-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "MARY",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "MSW, LMSW, ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801014879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.