Ebony Dowdell Peterson, LCSW in Columbia, SC - Medicare Clinical Social Worker Provider

Ebony Dowdell Peterson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Columbia, South Carolina. She graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is Sc House Calls Inc., 111 Doctors Cir., Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (800) 491-0909.

Ebony Dowdell Peterson is licensed to practice in Georgia (license number CSW007391) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821692245.

Contact Information

	Ebony Dowdell Peterson, LCSW
	Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203
	(800) 491-0909
	(678) 538-9613

Map and Direction

Healthcare Provider's Profile

Full Name	Ebony Dowdell Peterson
Gender	Female
Speciality	Clinical Social Worker
Experience	14 Years
Location	Sc House Calls Inc., Columbia, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ebony Dowdell Peterson graduated from medical school in 2011

NPI Data:

NPI Number: 1821692245
Provider Enumeration Date: 11/25/2020
Last Update Date: 10/28/2025

Medicare PECOS Information:

PECOS PAC ID: 7214344563
Enrollment ID: I20210402000012

Medical Identifiers

Medical identifiers for Ebony Dowdell Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821692245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	26463-C (Arizona)	Secondary
1041C0700X	Social Worker - Clinical	CSW007391 (Georgia)	Primary
1041C0700X	Social Worker - Clinical	TPSW4121 (Florida)	Secondary
171W00000X	Contractor	(* (Not Available))	Secondary
104100000X	Social Worker	CSW007391 (Georgia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sondermind Provider Network Llc	9537572490	874

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ebony Dowdell Peterson allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony Dowdell Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ebony Dowdell Peterson, LCSW Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Ph: (800) 491-0909	Ebony Dowdell Peterson, LCSW Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Ph: (800) 491-0909

Reviews and Comments

Social Worker in Columbia, SC

Mr. Craig Mathew Lombardi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 8th Division Rd # 7-20, Columbia, SC 29207 Phone: 803-751-2165
Ashley Douglas, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Phone: 800-491-0909
Martrisha Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 Executive Pointe Blvd Ste 104, Columbia, SC 29210 Phone: 855-284-7483
Mr. Addison Ronald Richardson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5000 Broad River Rd, Columbia, SC 29212 Phone: 803-896-9421 Fax: 803-896-9588
Zendrea E Govan, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Phone: 800-491-0909
Jacqueline Hartley Dunning, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 8th Division Rd, Columbia, SC 29207 Phone: 803-751-3005
Robert Shawn Diggs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000

Ebony Dowdell Peterson, LCSW - Medicare Clinical Social Worker in Columbia, SC