Joan Cassilly Petersen in St Louis - Clinical
Joan Cassilly Petersen - NPI 1003925876
Joan Cassilly Petersen is a Clinical in St Louis, Missouri. Joan Cassilly Petersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joan Cassilly Petersen is 1003925876. The last update date is 2008-09-03.
Joan Cassilly Petersen's current location address is Personal Potentials, Inc., St Louis, Missouri. You can contact this provider via phone number 3148224727 and fax number 3148220531. The mailing address for Joan Cassilly Petersen is Personal Potentials, Inc., St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Cassilly Petersen |
|---|---|
| Address | Personal Potentials, Inc., St Louis, Missouri |
| Phone Number | 3148224727 |
| Fax Number | 3148220531 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1003925876 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2008-09-03 |
Provider Mailing Address Detail
| Address | Personal Potentials, Inc. |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 63126 |
| Phone Number | 3148224727 |
| Fax Number | 3148220531 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 296 |
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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 |
|---|---|---|---|
| 5794000 | MBH NETWORK PROVIDER | ||
| 64401 | V/O NETWORK PROVIDER | ||
| 6122 | BCBS NETWORK PROVIDER | ||
| 111252 | A/B NETWORK PROVIDER | ||
| 185524 | COMPSYCH NETWORK PROVIDER | ||
| 493289102 | MO | -- | |
| 6267853 | UBH NETWORK PROVIDER |
Post Comment/ Review Below
What is the unique identifier code issued to Joan Cassilly Petersen by the Centers for Medicare & Medicaid Services?
The Joan Cassilly Petersen has been assigned the NPI (National Provider Identifier) 1003925876. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Joan Cassilly Petersen's facilities are geographically located?
The facilities of Joan Cassilly Petersen are physically situated at the following location: Personal Potentials, Inc., St Louis, MO, 63126.
What is Joan Cassilly Petersen's area of expertise and its corresponding taxonomy classification?
The Joan Cassilly 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 the Centers for Medicare & Medicaid Services originally issue the 1003925876 to Joan Cassilly Petersen?
The Centers for Medicare & Medicaid Services originally issued the 1003925876 to Joan Cassilly Petersen on 2006-08-29.
When was the Joan Cassilly Petersen's information last updated?
The Joan Cassilly Petersen's information was last updated on 2008-09-03.