BRETT PETERSEN (NPI# 1063891638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063891638 |
| Entity Type | Individual |
| Full Name | BRETT PETERSEN |
| Credential | LMSW |
| Practice Address |
4250 E Florian Ave Building #1 Mesa AZ 85206-2797 |
| Mailing Address |
924 N Country Club Dr Building #1 Mesa AZ 85201-4108 |
| Practice Telephone | 4808441653 |
| Practice Fax Number | 4805394979 |
| Mailing Telephone | 4809693800 |
| Mailing Fax Number | 4803079771 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LMSW15582 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447662358 | Brett Petersen | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-05-27 |
| 1295008761 | Brett William Petersen | Physical Therapist | 5805 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2012-02-14 |
| 1821253493 | Brett Petersen | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9001 | 2008-07-23 |
| Street Address |
4250 E FLORIAN AVE BUILDING #1 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-2797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619912029 | Marc Community Resources, Inc. | Clinic/Center | 4250 E Florian Ave, Building 1, Mesa, AZ 85206 | 2006-06-19 |
| 1134774417 | Dennis Ray | Behavior Technician | 4250 E Florian Ave, Building 1 & 2, Mesa, AZ 85206 | 2019-08-05 |
| 1770041386 | Cecillie Nakai | Behavior Technician | 4250 E Florian Ave, Mesa, AZ 85206-2797 | 2019-03-04 |
| 1306344908 | Laura Norfor | Behavior Technician | 4250 E Florian Ave, Mesa, AZ 85206-2797 | 2018-01-29 |
| 1922544337 | Christa Crohurst | Counselor | 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 | 2017-01-09 |
| 1285189019 | Tonia Halona | Technician, Other | 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 | 2016-08-22 |
| 1851750061 | Sam Jackson | Counselor | 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 | 2016-02-16 |
| 1174993984 | Benjamin Salicco | Technician, Other | 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 | 2015-10-06 |
| 1982016432 | Jennifer Kizer | Counselor | 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 | 2014-06-02 |
| 1407284201 | Danielle Chinavare | Counselor | 4250 E Florian Ave, Bldg 1, Mesa, AZ 85206-2797 | 2013-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1972142511 | Sonoran Sunrise Counseling, LLC | Social Worker | 6239 E Brown Rd Ste 112, Mesa, AZ 85205-4933 | 2019-12-30 |
| 1982248860 | Jennifer Franco-rodriguez | Social Worker | 1914 E Downing St, Mesa, AZ 85203-6627 | 2019-11-04 |
| 1659913655 | Kimberly Portugal | Social Worker | 10313 E Thornton Ave, Mesa, AZ 85212-8355 | 2019-10-10 |
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1144788563 | Ariel Koch | Social Worker | 11217 E Persimmon Ave, Mesa, AZ 85212-1905 | 2019-03-05 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1265976625 | Susan M Macintyre | Social Worker | 739 W Portobello Ave, Mesa, AZ 85210-8345 | 2016-12-05 |
| 1568812378 | Rebecca Van Wagenen Bermudez | Social Worker | 7565 E Eagle Crest Dr, Suite 201 Top Floor, Mesa, AZ 85207-1041 | 2016-06-13 |
| 1891156121 | The Lotus Counseling Center LLC | Social Worker | 2222 S Dobson Rd Ste 300, Mesa, AZ 85202-6490 | 2016-03-14 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.