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SPRING PEABODY LCSW
NPI 1699396713
Social Worker - Clinical in Los Angeles, CA

Active since April 29, 2020PECOS EnrolledAccepts Medicare Assignment
4152 CORONA DR, LOS ANGELES, CA 90032(808) 214-8076 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spring Peabody Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPRING PEABODY LCSW (NPI 1699396713) is an individual clinical provider in Los Angeles, California, licensed in California (92831) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1699396713
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSPRING PEABODYCredential: LCSW
Location Address4152 CORONA DRLos Angeles, CA 90032-1102
Mailing Address4152 Corona DrLos Angeles, CA 90032-1102 · (808) 214-8076
Phone(808) 214-8076
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1699396713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 92831
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4152 CORONA DR, Los Angeles, CA 90032
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Spring Peabody Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850700626
PECOS Enrollment IDI20210616003211
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Spring Peabody reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Moon Senior Counseling Of California LLC
1,708 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, California enrollment
  • 117 clinicians in this Medicare group
NPI 1447678990 (855) 241-7160
Bmsc Hi LLC
1,708 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Hawaii enrollment
  • 9 clinicians in this Medicare group
NPI 1831611805 (855) 241-7160

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spring Peabody's NPI number?

The NPI number for Spring Peabody is 1699396713. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Spring Peabody located?

Spring Peabody practices at 4152 Corona Dr, Los Angeles, CA 90032. The listed phone number is (808) 214-8076.

What is Spring Peabody's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Spring Peabody enrolled in Medicare?

Yes. Spring Peabody is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Spring Peabody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spring Peabody reassigns Medicare benefits to 2 organizations: Blue Moon Senior Counseling Of California LLC (Plainfield, IL) and Bmsc Hi LLC (Plainfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Spring Peabody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Spring Peabody was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.