SALLY A PETERS (NPI# 1235131566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235131566 |
| Entity Type | Individual |
| Full Name | SALLY A PETERS |
| Credential | CSW |
| Practice Address |
3405 Fontana Lake Dr Fuquay Varina NC 27526-0109 |
| Practice Telephone | 6317932846 |
| Mailing Telephone | 6317932846 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
061437-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083851117 | Sally Ann Peters | Physical Therapist | 11827 Pebblepointe Pass, Carmel, IN 46033-9672 | 2009-01-12 |
| 1760684559 | Sally Nicole Peters | Dentist | 1099 Helmo Ave N, Suite 200, Oakdale, MN 55128-6033 | 2007-06-04 |
| Street Address |
3405 FONTANA LAKE DR |
| City | FUQUAY VARINA |
| State | NC |
| Zip Code | 27526-0109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669483350 | Senior In-home Counseling LLC | Social Worker | 3405 Fontana Lake Dr, Fuquay Varina, NC 27526-0109 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782721 | Leah C. Mcconkey | Speech-Language Pathologist | 305 Willow Grace Lane, Fuquay Varina, NC 27526 | 2019-10-18 |
| 1437617727 | Katherine Venable | Physician Assistant | 1418 N Main Street, Fuquay - Vanna, NC 27526 | 2019-03-06 |
| 1114403599 | Christine Newkirk | Social Worker | 344 Edgecroft Way, Fuquay Varina, NC 27526 | 2018-07-18 |
| 1851800536 | Pamela Trapp Johnson | Specialist | 196 Knight Estates Cir, Fuquay Varina, NC 27526 | 2017-09-25 |
| 1376908228 | Carrie Adeline Mitchell | Social Worker | 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 | 2015-12-19 |
| 1235504267 | Keyana Sharlene Williams | Counselor | 602 E Academy St #205, Fuquay Varina, NC 27526 | 2015-12-02 |
| 1124452974 | Q1consultants, LLC | Community/Behavioral Health | 326 Daywood Creek Place, Fuquay, NC 27526 | 2013-08-29 |
| 1053759654 | Ellen Marie Macri | Developmental Therapist | 119 South Fuquay Avenue, Fuquay-varina, NC 27526 | 2013-06-05 |
| 1811239726 | Leslie H Yuan Gazdeck | Dentist | 1625 N Main St Ste 201, Fuquay Varina, NC 27526 | 2013-03-19 |
| 1093017725 | Joanne Scannell | Occupational Therapist | 119 South Fuquay Ave, Fuquay Varina, NC 27526 | 2010-12-01 |
| Find all providers in zip 27526 | ||||
| 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 |
|---|---|---|---|---|
| 1700425683 | Angelica England | Social Worker | 417 Holly Oak Ct, Fuquay Varina, NC 27526-8469 | 2019-12-24 |
| 1669946950 | Curtis Richardson-booker | Social Worker | 6100 Sunset Lake Rd, Fuquay Varina, NC 27526-8604 | 2019-01-19 |
| 1114403599 | Christine Newkirk | Social Worker | 344 Edgecroft Way, Fuquay Varina, NC 27526 | 2018-07-18 |
| 1346690419 | Mayela Harris | Social Worker | 5224 Westminster Ln, Fuquay Varina, NC 27526-9062 | 2016-06-20 |
| 1376908228 | Carrie Adeline Mitchell | Social Worker | 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 | 2015-12-19 |
| 1356695274 | Kimberly Dianne Carlton | Social Worker | 617 Sunset Dr, Fuquay Varina, NC 27526-2172 | 2012-10-30 |
| 1801187810 | Megan Mcculloch Inman Keith | Social Worker | 7925 Purfoy Rd, Fuquay Varina, NC 27526-8937 | 2011-04-25 |
| 1972783983 | Cynthia L Babits | Social Worker | 1624 Mclaurin Ln, Fuquay Varina, NC 27526-9406 | 2007-11-07 |
| 1689791618 | Nancy Tolbert Edwards | Social Worker | 605 Walapai Dr, Fuquay Varina, NC 27526-5148 | 2007-03-23 |
| 1003949819 | Nicole S Hammonds | Social Worker | 602 E Academy St Ste 205, Fuquay Varina, NC 27526 | 2007-03-13 |
| Find all providers in FUQUAY VARINA | ||||
| City | FUQUAY VARINA |
| Zip Code | 27526 |
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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.