Leslie Peterson is a Clinical in San Diego, California. Leslie Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leslie Peterson is 1942404363. The last update date is 2007-07-08.
Leslie Peterson's current location address is 4007 Cosmo St, San Diego, California. You can contact this provider via phone number 7609677082 and fax number 7609671465. The mailing address for Leslie Peterson is 4007 Cosmo St, San Diego, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leslie Peterson |
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Address | 4007 Cosmo St, San Diego, California |
Phone Number | 7609677082 |
Fax Number | 7609671465 |
Sole Proprietor | N |
Credentials | MSW |
NPI Number Detail
NPI Number | 1942404363 |
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Provider Enumeration Date | 2007-06-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4007 Cosmo St |
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City | San Diego |
State | California (CA) |
Post Code | 921113419 |
Phone Number | 7609677082 |
Fax Number | 7609671465 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
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 assigned to Leslie Peterson by the Centers for Medicare & Medicaid Services?
The Leslie Peterson has been issued the NPI (National Provider Identifier) 1942404363, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Leslie Peterson is located?
The Leslie Peterson is situated at the following address: 4007 Cosmo St, San Diego, CA, 921113419.
What is Leslie Peterson's area of expertise and its corresponding taxonomy classification?
The Leslie 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 Leslie Peterson receive the assignment of its 1942404363 from the Centers for Medicare & Medicaid Services?
The Leslie Peterson was issued its 1942404363 by the Centers for Medicare & Medicaid Services on 2007-06-11.
When was the information regarding Leslie Peterson most recently updated?
The details pertaining to the Leslie Peterson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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