Jessica Ann Peterson in Apple Valley - Clinical
Jessica Ann Peterson - NPI 1497966238
Jessica Ann Peterson is a Clinical in Apple Valley, Minnesota. Jessica Ann Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Ann Peterson is 1497966238. The last update date is 2019-01-14.
Jessica Ann Peterson's current location address is 6485 134th St W, Apple Valley, Minnesota. You can contact this provider via phone number 9523031856. The mailing address for Jessica Ann Peterson is 6485 134th St W, Apple Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Ann Peterson |
|---|---|
| Address | 6485 134th St W, Apple Valley, Minnesota |
| Phone Number | 9523031856 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW, CSW |
NPI Number Detail
| NPI Number | 1497966238 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2019-01-14 |
Provider Mailing Address Detail
| Address | 6485 134th St W |
|---|---|
| City | Apple Valley |
| State | Minnesota (MN) |
| Post Code | 551247917 |
| Phone Number | 9523031856 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4550 |
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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 Jessica Ann Peterson's unique identification number?
The Jessica Ann Peterson has been assigned the NPI (National Provider Identifier) Number 1497966238 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jessica Ann Peterson located?
The Jessica Ann Peterson is located at 6485 134Th St W, Apple Valley, MN 551247917.
What is Jessica Ann Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jessica Ann Peterson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did Jessica Ann Peterson receive its 1497966238 assignment?
The Jessica Ann Peterson was assigned its 1497966238 on 2007-05-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jessica Ann Peterson most recently updated or revised?
The information pertaining to Jessica Ann Peterson, including its address, specialty, and other relevant details, was last updated or revised on 2019-01-14.
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