Cynthia B Peterson is a Clinical in Decorah, Iowa. Cynthia B Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cynthia B Peterson is 1609937093. The last update date is 2007-07-08.
Cynthia B Peterson's current location address is 905 Montgomery St, Decorah, Iowa. You can contact this provider via phone number 5633823649 and fax number 5633828183. The mailing address for Cynthia B Peterson is 905 Montgomery St, Decorah, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cynthia B Peterson |
|---|---|
| Address | 905 Montgomery St, Decorah, Iowa |
| Phone Number | 5633823649 |
| Fax Number | 5633828183 |
| Sole Proprietor | N |
| Credentials | MA, LISW |
NPI Number Detail
| NPI Number | 1609937093 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 905 Montgomery St |
|---|---|
| City | Decorah |
| State | Iowa (IA) |
| Post Code | 521012325 |
| Phone Number | 5633823649 |
| Fax Number | 5633828183 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6473 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6473 | IA | LISW |
Post Comment/ Review Below
What is the unique identifier code issued to Cynthia B Peterson by the Centers for Medicare & Medicaid Services (CMS)?
The Cynthia B Peterson has been assigned the NPI (National Provider Identifier) 1609937093. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Cynthia B Peterson's facilities are situated?
The facilities of Cynthia B Peterson are physically located at the following address: 905 Montgomery St, Decorah, IA, 521012325.
What is Cynthia B Peterson's area of expertise and its corresponding taxonomy classification?
The Cynthia B Peterson'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 the Centers for Medicare & Medicaid Services issue the 1609937093 to Cynthia B Peterson?
The Cynthia B Peterson received its 1609937093 assignment from the Centers for Medicare & Medicaid Services on 2006-12-12.
When was the information pertaining to Cynthia B Peterson most recently updated or revised?
The details related to Cynthia B Peterson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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