Faye Peterson-Pottin in Goshen - Clinical
Faye Peterson-Pottin - NPI 1013965581
Faye Peterson-Pottin is a Clinical in Goshen, Indiana. Faye Peterson-Pottin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Faye Peterson-Pottin is 1013965581. The last update date is 2007-07-08.
Faye Peterson-Pottin's current location address is 107 Gra Roy Dr, Goshen, Indiana. You can contact this provider via phone number 5745333618. The mailing address for Faye Peterson-Pottin is 107 Gra Roy Dr, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Faye Peterson-Pottin |
|---|---|
| Address | 107 Gra Roy Dr, Goshen, Indiana |
| Phone Number | 5745333618 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1013965581 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 107 Gra Roy Dr |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465264706 |
| Phone Number | 5745333618 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34003518 |
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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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Post Comment/ Review Below
What is the Faye Peterson-Pottin's unique identification number?
The Faye Peterson-Pottin has been assigned the NPI (National Provider Identifier) Number 1013965581 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Faye Peterson-Pottin?
The Faye Peterson-Pottin is situated at 107 Gra Roy Dr, in the city of Goshen, state of IN, with the zip code 465264706.
What is the Faye Peterson-Pottin's area of specialization and corresponding taxonomy classification?
The Faye Peterson-Pottin's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Faye Peterson-Pottin receive its 1013965581 assignment from the Centers for Medicare & Medicaid Services?
The Faye Peterson-Pottin was assigned its 1013965581 by the Centers for Medicare & Medicaid Services on 2006-05-05.
As of what date were the details pertaining to Faye Peterson-Pottin last refreshed?
The information related to the Faye Peterson-Pottin, including its address, specialty, and other relevant details, was last updated on 2007-07-08.