Brent H Petersen in Bakersfield - Clinical

Brent H Petersen - NPI 1124231428

Brent H Petersen is a Clinical in Bakersfield, California. Brent H Petersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brent H Petersen is 1124231428. The last update date is 2007-07-08.

Brent H Petersen's current location address is 1801 Westwind Dr, Bakersfield, California. You can contact this provider via phone number 6616321849 and fax number 6616321866. The mailing address for Brent H Petersen is 1801 Westwind Dr, Bakersfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Brent H Petersen
Address 1801 Westwind Dr, Bakersfield, California
Phone Number 6616321849
Fax Number 6616321866
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1124231428
Provider Enumeration Date 2007-05-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1801 Westwind Dr
City Bakersfield
State California (CA)
Post Code 933013028
Phone Number 6616321849
Fax Number 6616321866

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS 22957
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, certif

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FAQs about Brent H Petersen

What is the unique 10-digit identification code issued to Brent H Petersen by the Centers for Medicare & Medicaid Services?

The Brent H Petersen has been assigned the NPI (National Provider Identifier) 1124231428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Brent H Petersen is located?

The Brent H Petersen is situated at the following address: 1801 Westwind Dr, Bakersfield, CA, 933013028.

What is Brent H Petersen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Brent H Petersen is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1124231428 to Brent H Petersen?

The Centers for Medicare & Medicaid Services assigned the 1124231428 to Brent H Petersen on 2007-05-07.

When was the information regarding Brent H Petersen most recently updated?

The details pertaining to the Brent H Petersen, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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