Jeraleen M. Peterson in Rancho Cucamonga - Clinical
Jeraleen M. Peterson - NPI 1063635563
Jeraleen M. Peterson is a Clinical in Rancho Cucamonga, California. Jeraleen M. Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeraleen M. Peterson is 1063635563. The last update date is 2018-12-17.
Jeraleen M. Peterson's current location address is Po Box 4571, Rancho Cucamonga, California. You can contact this provider via phone number 9092919349 and fax number 8882726076. The mailing address for Jeraleen M. Peterson is Po Box 4571, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeraleen M. Peterson |
|---|---|
| Address | Po Box 4571, Rancho Cucamonga, California |
| Phone Number | 9092919349 |
| Fax Number | 8882726076 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063635563 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2018-12-17 |
Provider Mailing Address Detail
| Address | Po Box 4571 |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917294571 |
| Phone Number | 9092919349 |
| Fax Number | 8882726076 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 28561 |
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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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What is the unique 10-digit identification code issued to Jeraleen M. Peterson by the Centers for Medicare & Medicaid Services?
The Jeraleen M. Peterson has been assigned the NPI (National Provider Identifier) 1063635563 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 address where Jeraleen M. Peterson is physically located?
The Jeraleen M. Peterson is situated at the following address: Po Box 4571, Rancho Cucamonga, CA 917294571.
What is Jeraleen M. Peterson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeraleen M. Peterson is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063635563 to Jeraleen M. Peterson?
The Jeraleen M. Peterson received its 1063635563 assignment from the Centers for Medicare & Medicaid Services on 2007-04-11.
When was the information regarding Jeraleen M. Peterson most recently updated?
The details pertaining to the Jeraleen M. Peterson, including its address, specialty, and other relevant information, were last refreshed on 2018-12-17.