David Petersen in Colorado Springs - Clinical
David Petersen - NPI 1497845788
David Petersen is a Clinical in Colorado Springs, Colorado. David Petersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Petersen is 1497845788. The last update date is 2023-01-26.
David Petersen's current location address is 415 N Tejon St, Colorado Springs, Colorado. You can contact this provider via phone number 7193326767. The mailing address for David Petersen is 415 N Tejon St, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | David Petersen |
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Address | 415 N Tejon St, Colorado Springs, Colorado |
Phone Number | 7193326767 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1497845788 |
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Provider Enumeration Date | 2006-10-15 |
Last Updated Date | 2023-01-26 |
Provider Mailing Address Detail
Address | 415 N Tejon St |
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City | Colorado Springs |
State | Colorado (CO) |
Post Code | 809031101 |
Phone Number | 7193326767 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 255 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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99366 | CO | -- |
Post Comment/ Review Below
What is the David Petersen's unique identification number?
The David Petersen has been assigned the NPI (National Provider Identifier) Number 1497845788 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where David Petersen is physically located?
The David Petersen is physically situated at the following address: 415 N Tejon St, Colorado Springs, CO, 809031101.
What is the David Petersen's area of specialization and corresponding taxonomy classification?
The David Petersen's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
What is David Petersen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David Petersen is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the David Petersen receive its 1497845788 assignment from the Centers for Medicare & Medicaid Services?
The David Petersen was assigned its 1497845788 by the Centers for Medicare & Medicaid Services on 2006-10-15.