Individual provider Active NPI

Ingrid Carla Peper, LCSW

  • Clinical Social Worker
  • Alpharetta, GA
National Provider Identifier
1952820359
Registry record updated Sep 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005247 Issued in GA
Practice address
3060 Royal Blvd S Ste 210
Alpharetta, GA 30022-1443
Phone
(404) 388-3909
NPI assigned
Sep 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW005247 GA Primary

Addresses

Primary practice location

3060 Royal Blvd S Ste 210
Alpharetta, GA 30022-1443

Mailing address

729 Brookridge Dr NE
Atlanta, GA 30306-3676
Phone (404) 245-5742

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
I20180806000185 GA Practitioner - Clinical Social Worker 5597013722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1020 Parkside CMNS
Suite 101M
Greensboro, GA 30642-4532
Phone (706) 749-4428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Apr 22, 2020 Accepting new patients
Focus Forward Counseling and Consulting, Inc CurrentSince Jul 26, 2018 Accepting new patients
Discover and Thrive Counseling, LLC Clinical CurrentSince Apr 16, 2024 Accepting new patients

Locations

5975 Parkway North Blvd
Ste 300D
Cumming, GA 30040
Phone (404) 388-3909

1020 Parkside Cmns
Ste 101M
Greensboro, GA 30642
Phone (706) 749-4428

8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505606400000",
    "number": "1952820359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 BROOKRIDGE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063676",
            "telephone_number": "404-245-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 ROYAL BLVD S STE 210",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221443",
            "telephone_number": "404-388-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPER",
        "first_name": "INGRID",
        "middle_name": "CARLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-17",
        "last_updated": "2017-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.