Thomas James Peterson in Riverside - Clinical

Thomas James Peterson - NPI 1063693299

Thomas James Peterson is a Clinical in Riverside, California. Thomas James Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas James Peterson is 1063693299. The last update date is 2011-03-24.

Thomas James Peterson's current location address is Po Box 1405, Riverside, California. You can contact this provider via phone number 9513416440 and fax number 9513416404. The mailing address for Thomas James Peterson is Po Box 1405, Riverside, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas James Peterson
Address Po Box 1405, Riverside, California
Phone Number 9513416440
Fax Number 9513416404
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1063693299
Provider Enumeration Date 2007-11-15
Last Updated Date 2011-03-24

Provider Mailing Address Detail

Address Po Box 1405
City Riverside
State California (CA)
Post Code 925021405
Phone Number 9513416440
Fax Number 9513416404

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS13721
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 Thomas James Peterson

What is the Thomas James Peterson's unique identification number?

The Thomas James Peterson has been assigned the NPI (National Provider Identifier) Number 1063693299 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Thomas James Peterson is located?

The Thomas James Peterson is situated at the following address: Po Box 1405, Riverside, CA, 925021405.

What is Thomas James Peterson's area of expertise and its corresponding taxonomy classification?

The Thomas James Peterson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063693299 to Thomas James Peterson?

The Centers for Medicare & Medicaid Services originally issued the 1063693299 to Thomas James Peterson on 2007-11-15.

As of what date were the details related to Thomas James Peterson most recently updated or revised?

The information pertaining to Thomas James Peterson, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-24.

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