Vicky Ann Peterson is a Clinical in Boulder, Colorado. Vicky Ann Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vicky Ann Peterson is 1083744890. The last update date is 2007-07-08.
Vicky Ann Peterson's current location address is 1333 Iris Ave, Boulder, Colorado. You can contact this provider via phone number 3034471665. The mailing address for Vicky Ann Peterson is 1333 Iris Ave, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vicky Ann Peterson |
|---|---|
| Address | 1333 Iris Ave, Boulder, Colorado |
| Phone Number | 3034471665 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1083744890 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1333 Iris Ave |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803042226 |
| Phone Number | 3034471665 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 989947 |
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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 identifier code assigned to Vicky Ann Peterson by the Centers for Medicare & Medicaid Services?
The Vicky Ann Peterson has been issued the NPI (National Provider Identifier) 1083744890 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Vicky Ann Peterson?
The Vicky Ann Peterson is situated at 1333 Iris Ave, in the city of Boulder, state of CO, with the zip code 803042226.
What is Vicky Ann Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Vicky Ann Peterson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083744890 to Vicky Ann Peterson?
The Centers for Medicare & Medicaid Services assigned the 1083744890 to Vicky Ann Peterson on 2007-03-07.
When was the Vicky Ann Peterson's information last updated?
The Vicky Ann Peterson's information was last updated on 2007-07-08.