KAITLIN ANTOINETTE PETERSON (NPI# 1336621978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336621978 |
| Entity Type | Individual |
| Full Name | KAITLIN ANTOINETTE PETERSON |
| Credential | MSW, LCSW |
| Practice Address |
420 7th St Racine WI 53403-1287 |
| Mailing Address |
10649 W Donges Bay Rd Mequon WI 53097-3433 |
| Practice Telephone | 2626342391 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 130196-121 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9346-123 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730673757 | Kaitlin Rose Peterson | Physician Assistant | 4010 W 65th St, Edina, MN 55435 | 2018-06-22 |
| 1669903191 | Kaitlin Mary Peterson | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2017-03-26 |
| Street Address |
420 7TH ST |
| City | RACINE |
| State | WI |
| Zip Code | 53403-1287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962525683 | Thomas Karl Galten | Social Worker | 420 7th St, Racine, WI 53403-1222 | 2007-04-09 |
| 1508493370 | Whitney Strack | Counselor | 420 7th St, Racine, WI 53403-1287 | 2020-03-23 |
| 1386283133 | Hollie White | Counselor | 420 7th St, Racine, WI 53403-1222 | 2019-12-26 |
| 1114439254 | John Tate II | Social Worker | 420 7th St, Racine, WI 53403-1222 | 2017-10-30 |
| 1144769043 | Jessica Poteat | Counselor | 420 7th St, Racine, Wi 53403, Racine, WI 53403-1222 | 2017-02-13 |
| 1902277387 | Jill Kamm | Social Worker | 420 7th St, Racine, WI 53403-1222 | 2015-10-12 |
| 1063803096 | Hallie Beecraft | Counselor | 420 7th St, Racine, WI 53403-1222 | 2015-02-12 |
| 1558765487 | April Pischke | Social Worker | 420 7th St, Racine, WI 53403-1222 | 2014-10-21 |
| 1912272071 | Angela Marie Hansen | Counselor | 420 7th St, Racine, WI 53403-1222 | 2012-03-21 |
| 1932473097 | Grace Rondeau | Counselor | 420 7th St, Racine, WI 53403-1222 | 2012-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| 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 |
|---|---|---|---|---|
| 1962973479 | Karen Seif | Social Worker | 1818 Wisconsin Ave, Racine, WI 53403-2771 | 2018-12-10 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1538485834 | Marianne T. Jensen | Social Worker | 2310 N Main St, Racine, WI 53402-4450 | 2010-04-12 |
| 1992916910 | Karen Carnabucci | Social Worker | 932 Lake Ave, Lake House Health & Learning Center, Racine, WI 53403-1519 | 2007-05-24 |
| 1740496868 | Linda Marie Angel | Social Worker | 420 Seventh St, Racine, WI 53403-1222 | 2007-05-15 |
| 1962525683 | Thomas Karl Galten | Social Worker | 420 7th St, Racine, WI 53403-1222 | 2007-04-09 |
| 1225191158 | Linda Susan Noer | Social Worker | 2219 Washington Ave, Racine, WI 53405-3551 | 2006-12-19 |
| 1417018664 | Angela Maria Martin | Social Worker | 6021 Durand Avenue, Suite 300, Racine, WI 53406 | 2006-12-12 |
| 1023027414 | Kathleen Fenno Mcnulty | Social Worker | 1220 Mound Ave, Suite 301, Racine, WI 53404-3350 | 2006-08-05 |
| 1457328643 | Elizabeth Hanson Will | Social Worker | 700 Villa Street, Racine, WI 53403 | 2006-03-07 |
| Find all providers in RACINE | ||||
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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.