Laura Petersen is a Clinical in Bloomington, Indiana. Laura Petersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laura Petersen is 1548203045. The last update date is 2014-11-25.
Laura Petersen's current location address is 901 S Rogers St, Bloomington, Indiana. You can contact this provider via phone number 8123697683. The mailing address for Laura Petersen is 901 S Rogers St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Petersen |
|---|---|
| Address | 901 S Rogers St, Bloomington, Indiana |
| Phone Number | 8123697683 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1548203045 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2014-11-25 |
Provider Mailing Address Detail
| Address | 901 S Rogers St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474034756 |
| Phone Number | 8123697683 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34004770 |
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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 Laura Petersen's 1548203045?
The Laura Petersen's NPI (National Provider Identifier) Number is 1548203045. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Laura Petersen located?
The Laura Petersen is located at 901 S Rogers St, Bloomington, IN 474034756.
What is Laura Petersen's area of expertise and its corresponding taxonomy classification?
The Laura Petersen'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 Laura Petersen receive its 1548203045 assignment from the Centers for Medicare & Medicaid Services?
The Laura Petersen was assigned its 1548203045 on 2006-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Laura Petersen most recently updated or revised?
The information pertaining to Laura Petersen, including its address, specialty, and other relevant details, was last updated or revised on 2014-11-25.