ANDREA DAWN PETERSON (NPI# 1316559529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316559529 |
| Entity Type | Individual |
| Full Name | ANDREA DAWN PETERSON |
| Credential | LCSW |
| Practice Address |
520 N 4th St Springfield IL 62702-5238 |
| Mailing Address |
201 E Madison St Springfield IL 62702-5131 |
| Practice Telephone | 2175458000 |
| Mailing Telephone | 2175453787 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
149.022399 | IL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149022399 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 332 S Michigan Ave Ste 1100, Chicago, IL 606044416 | 8886604425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922569698 | Andrea Marie Peterson | Pediatrics | 1917 Lakeshore Dr, Modesto, CA 95355-1869 | 2019-03-26 |
| 1154689412 | Andrea Lyn Peterson | Occupational Therapy Assistant | 3452 Hickory Ln, Deer Park, TX 77536-5051 | 2012-04-24 |
| 1336762772 | Andrea Peterson | Behavioral Analyst | 8285 S Saginaw St, Grand Blanc, MI 48439-2468 | 2020-05-20 |
| 1740812858 | Andrea Peterson | Psychologist | 430 E Shirley Ave, Warrenton, VA 20186-3725 | 2020-02-06 |
| 1063876019 | Andrea Michelle Peterson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9032 | 2016-04-06 |
| 1609146570 | Andrea Peterson | Marriage & Family Therapist | 2378 Maritime Dr Ste 100, Elk Grove, CA 95758-3641 | 2012-01-09 |
| 1770731473 | Andrea B Peterson | Nurse Practitioner | 737 Broadway, Fargo, ND 58122-0001 | 2008-09-05 |
| 1942324876 | Andrea M.h. Peterson | Social Worker | 1127 N Oakley Blvd, 3rd Floor, Chicago, IL 60622-3507 | 2007-03-17 |
| 1801904776 | Andrea T Peterson | Physical Medicine & Rehabilitation | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-08-29 |
| 1245200187 | Andrea A Peterson | Family Medicine | 24 Stevens St, Norwalk, CT 06850-3852 | 2006-01-24 |
| Street Address |
520 N 4TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023006913 | Janet R Albers | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2005-10-13 |
| 1811505159 | Naila Manahil | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-07-22 |
| 1881211605 | Roxanne Bautista | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-06-27 |
| 1689298366 | Ibukunoluwa Oluwatoni Olapoju | Family Medicine | 520 N 4th St, Springfield, IL 62702 | 2020-05-29 |
| 1386267425 | George Hudson | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-23 |
| 1962025577 | Logan Tyler Garthe | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-19 |
| 1740802693 | Haroun Babajide Ogun | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-14 |
| 1952923153 | Hayley Hudson | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-11 |
| 1780206094 | Patrick Hale Long | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-08 |
| 1205458650 | Joshua Brandon | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| 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 |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on ANDREA DAWN 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.