ANDREA PETERSEN (NPI# 1093163743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093163743 |
| Entity Type | Individual |
| Full Name | ANDREA PETERSEN |
| Credential | MSW |
| Practice Address |
103 Caroline Ct Beaver Dam WI 53916-1833 |
| Practice Telephone | 6085773879 |
| Mailing Telephone | 6085773879 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083382 | Andrea Nicole Petersen | Registered Nurse | 2410 S Limit Ave, Sedalia, MO 65301-6910 | 2020-08-14 |
| 1396209094 | Andrea Petersen | Early Intervention Provider Agency | 7000 Austin St, Forest Hills, NY 11375-1022 | 2019-01-27 |
| 1508344466 | Andrea Margo Petersen | Nurse Practitioner | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2018-08-02 |
| 1063854669 | Andrea Rae Petersen | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 | 2013-07-24 |
| 1326306721 | Andrea Klunder Petersen | Medical Genetics | 2801 N Gantenbein Ave Ste 2225, Portland, OR 97227-1623 | 2012-04-24 |
| 1952608358 | Andrea Leigh Petersen | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-21 |
| 1669661559 | Andrea R Petersen | Dietitian, Registered | 2600 65th Avenue, Osceola, WI 54020-3024 | 2007-10-17 |
| 1851429211 | Andrea Lynn Petersen | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2007-02-28 |
| Street Address |
103 CAROLINE CT |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255895363 | Emily Nelson | Social Worker | 809 Park Ave, Beaver Dam, WI 53916-2205 | 2019-01-23 |
| 1619164274 | Andrea Whitmer | Social Worker | 1269 Duvall Rd, Beaver Dam, KY 42320-8637 | 2007-09-27 |
| 1497767040 | Richard J Bronecki | Social Worker | 108 N Lincoln Ave, Beaver Dam, WI 53916-2110 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423342 | Papa Fall | Social Worker | 2021 Atwood Ave, Madison, WI 53704-5324 | 2020-10-01 |
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1720692056 | Gabrielle Kaiser | Social Worker | 520 University Ave, Madison, WI 53703-4915 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1811500358 | Kristen A Palmer | Social Worker | 3536 52nd St, Kenosha, WI 53144-2662 | 2020-08-25 |
| 1336752773 | Karin Y Luskey | Social Worker | 713 Penny Ln, Hudson, WI 54016-7955 | 2020-08-25 |
| 1114538162 | Anne J Lupo Gondwe | Social Worker | 24178 1st Ave Ste 2, Siren, WI 54872-8220 | 2020-08-13 |
| 1841801172 | Kayla Ruth Jischke | Social Worker | 266 Junction Rd Apt 27, Madison, WI 53717-2645 | 2020-08-11 |
| 1508482647 | Cristin M Burkeland | Social Worker | 629 River St, Belleville, WI 53508-9189 | 2020-06-24 |
| 1568088664 | Jacob Morris | Social Worker | 281 Parkside Dr Apt 123, Whitewater, WI 53190-2220 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
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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.