Carole Marie Petersen in Sonoma - Clinical
Carole Marie Petersen - NPI 1356487706
Carole Marie Petersen is a Clinical in Sonoma, California. Carole Marie Petersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carole Marie Petersen is 1356487706. The last update date is 2007-07-08.
Carole Marie Petersen's current location address is 1193 Castle Rd, Sonoma, California. You can contact this provider via phone number 7079390939 and fax number 7079390939. The mailing address for Carole Marie Petersen is 1193 Castle Rd, Sonoma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carole Marie Petersen |
|---|---|
| Address | 1193 Castle Rd, Sonoma, California |
| Phone Number | 7079390939 |
| Fax Number | 7079390939 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1356487706 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1193 Castle Rd |
|---|---|
| City | Sonoma |
| State | California (CA) |
| Post Code | 954764827 |
| Phone Number | 7079390939 |
| Fax Number | 7079390939 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS13720 |
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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 Carole Marie Petersen's 1356487706?
The Carole Marie Petersen's NPI (National Provider Identifier) Number is 1356487706. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carole Marie Petersen's physical address?
The Carole Marie Petersen is physically located at 1193 Castle Rd, in the city of Sonoma, CA, with the postal code 954764827.
What is Carole Marie Petersen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carole Marie Petersen is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date was the 1356487706 assigned to Carole Marie Petersen?
The Carole Marie Petersen was issued its 1356487706 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Carole Marie Petersen most recently updated or revised?
The information pertaining to Carole Marie Petersen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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