JEAN B. PETERSON (NPI# 1295804193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295804193 |
| Entity Type | Individual |
| Full Name | JEAN B. PETERSON |
| Credential | LCSW |
| Practice Address |
22 Bayview Ave Stonington CT 06378-1142 |
| Mailing Address |
6 Godfrey St Mystic CT 06355-1702 |
| Practice Telephone | 8605364478 |
| Practice Fax Number | 8605364478 |
| Mailing Telephone | 8605364478 |
| Mailing Fax Number | 8605364478 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2012-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
R010111-1 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
003735 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043763386 | Jean Marie Peterson | Nurse Practitioner | Stony Brook Medicine, Hsc Dept of Urology Room 040 Level 9, Stony Brook, NY 11794-8093 | 2016-08-03 |
| 1073634994 | Jean Frances Peterson | Developmental Therapist | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2007-04-02 |
| Street Address |
22 BAYVIEW AVE |
| City | STONINGTON |
| State | CT |
| Zip Code | 06378-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952315210 | Molly A Kunka | Social Worker | 22 Bayview Ave, Stonington, CT 06378-1148 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841857141 | Caroline Madeline Wallace | Behavioral Analyst | 4 Broadway Ave Ext, Unit 3, Stonington, CT 06378 | 2019-05-22 |
| 1811070972 | Michael Patrick O'brien | Psychiatry & Neurology | 32 Water Street, Stonington, CT 06378 | 2006-10-23 |
| 1093819088 | Leslie Ellen Orenstein | Social Worker | 808 Stonington Road, Suite 201, Stonington, CT 06378 | 2006-09-11 |
| 1538625587 | Robin Hennessey Lcsw, LLC | Social Worker | 107 Wilcox Road, Stonington, CT 06378 | 2019-02-14 |
| 1548498124 | Dana N. Kuhl | Counselor | 40 Trumbull Ave, Stonington, CT 06378-1018 | 2009-06-23 |
| 1023081205 | Stonington Volunteer Ambulance Corp In | Ambulance | 84 Alpha Ave, Stonington, CT 06378-1114 | 2006-02-09 |
| 1649201021 | John P. Carbo | Marriage & Family Therapist | 65 Alpha Ave, Stonington, CT 06378-1115 | 2006-07-05 |
| 1568977767 | Elizabeth Nuesch | Behavior Technician | 213 Elm St Apt 2, Stonington, CT 06378-1165 | 2017-12-10 |
| 1922050632 | David Holland Burchenal | Internal Medicine | 213 Elm St, Stonington, CT 06378-1165 | 2006-05-17 |
| 1366800369 | Katherine Walworth | Counselor | 20 Elm St, Unit 2, Stonington, CT 06378-1259 | 2016-02-04 |
| Find all providers in zip 06378 | ||||
| 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 |
|---|---|---|---|---|
| 1639525579 | Summit Counseling LLC | Social Worker | 340 New London Tpke, Stonington, CT 06378-1709 | 2016-05-10 |
| 1447643788 | Synergy Psychotherapy, LLC | Social Worker | 808 Stonington Rd, Ste 201, Stonington, CT 06378-2530 | 2015-03-11 |
| 1447521505 | Julie Russell | Social Worker | 107 Wilcox Rd Ste 111, Stonington, CT 06378-2614 | 2012-01-21 |
| 1831267442 | Elizabeth Tobin Brown | Social Worker | 107 Wilcox Rd Ste 108, Stonington, CT 06378-2614 | 2006-12-01 |
| 1164519591 | Steven N. Simonson | Social Worker | 55 Wilcox Rd, Stonington, CT 06378-2612 | 2006-10-06 |
| 1003911694 | Maura Merrill | Social Worker | 808 Stonington Rd Ste 201, Stonington, CT 06378-2517 | 2006-09-14 |
| 1952315210 | Molly A Kunka | Social Worker | 22 Bayview Ave, Stonington, CT 06378-1148 | 2006-07-29 |
| 1235172487 | Carol Phillips Thompson | Social Worker | 7 Carriage Dr, Stonington, CT 06378-2404 | 2006-06-14 |
| 1538625587 | Robin Hennessey Lcsw, LLC | Social Worker | 107 Wilcox Road, Stonington, CT 06378 | 2019-02-14 |
| 1831524131 | Katharine E. Chiapperini, Lcsw, LLC | Social Worker | 107 Wilcox Rd, Suite 106, Stonington, CT 06378-2614 | 2013-09-05 |
| Find all providers in STONINGTON | ||||
| City | STONINGTON |
| Zip Code | 06378 |
Please comment or provide details below to improve the information on JEAN B. PETERSON.
| 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.