Individual provider Active NPI

Kortney Peppler, LMSW

  • Clinical Social Worker
  • Caro, MI
National Provider Identifier
1982035010
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092024 Issued in MI
Practice address
1332 Prospect Ave
Caro, MI 48723-9288
Phone
(989) 673-6191
Fax
(989) 672-3053
NPI assigned
Nov 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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 6801092024 MI Primary

Addresses

Primary practice location

1332 Prospect Ave
Caro, MI 48723-9288

Mailing address

323 N State St
Caro, MI 48723-1537
Phone (989) 673-6191

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

State licenses

LicenseStateTypeSpecialty
6801092024MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peppler & Sember PLLC Clinical Current Accepting new patients

Locations

123 N Main St
Vassar, MI 48768

Organizations & group practices 1

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": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1982035010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231537",
            "telephone_number": "989-673-6191",
            "fax_number": "989-672-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 PROSPECT AVE",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239288",
            "telephone_number": "989-673-6191",
            "fax_number": "989-672-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPLER",
        "first_name": "KORTNEY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.