KRISTIN MICHELLE PETERSON


Address: 110 N 4th Ave, Ann Arbor, MI 48104-5503
Phone: 7343308050

KRISTIN MICHELLE PETERSON (NPI# 1336641562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336641562
Entity Type Individual
Full Name KRISTIN MICHELLE PETERSON
Credential MSW
Practice Address 110 N 4th Ave
Ann Arbor
MI 48104-5503
Mailing Address 2849 Golfside Rd Apt 43
Ypsilanti
MI 48197-1945
Practice Telephone 7343308050
Mailing Telephone 7343308050
Enumeration Date 2018-03-03
Last Update Date 2018-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
6801102196 MI Behavioral Health & Social Service Providers

Other Providers KRISTIN PETERSON

NPI Name Taxonomy Address Enumeration
1891246534 Kristin Peterson Social Worker 50 Mcdougal Dr, White Plains, NY 10603-2310 2016-10-18
1386997286 Kristin K Peterson Case Manager/Care Coordinator 831 Chief Eddie Hoffman Highway, Bethel, AK 99559 2012-10-17
1851537849 Kristin Peterson Speech-Language Pathologist 1733 W Irving Park Rd Apt 321, Chicago, IL 60613-2561 2008-12-23
1437132115 Kristin Kay Peterson Physical Therapist 1217 Plaza Blvd Ste E, Suite 130, Central Point, OR 97502-2682 2005-11-28
1871052803 Kristin Lily Peterson Student in an Organized Health Care Education/Training Program 2160 S 1st Ave, Maywood, IL 60153-3328 2019-03-19
1295247161 Kristin Peterson Social Worker 8 Atwood Dr, Northampton, MA 01060-4266 2017-10-31
1689199291 Kristin Brooke Peterson Pharmacist 2301 Holmes St, Kansas City, MO 64108-2640 2017-08-04
1477097665 Kristin Peterson Social Worker 1055 Clermont St, Denver, CO 80220-3808 2016-12-07
1215301205 Kristin Ann Peterson Counselor 618 S Il Route 31, Suite 2, Mchenry, IL 60050-8273 2015-11-14
1134460520 Kristin Peterson Behavioral Analyst 2560 9th St, Suite 219, Berkeley, CA 94710-2500 2013-03-08

Office Location

Street Address 110 N 4TH AVE
City ANN ARBOR
State MI
Zip Code 48104-5503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396392031 Catherine Ann Belski Registered Nurse 110 N 4th Ave, Ann Arbor, MI 48104-5503 2019-08-19
1134789902 Alexa Rose Muntian Social Worker 110 N 4th Ave, Ann Arbor, MI 48104-5503 2019-06-14
1962061846 Michael Ohonbamu Social Worker 110 N 4th Ave, Ann Arbor, MI 48104-5503 2019-06-13
1386207967 Bradley Baker Social Worker 110 N 4th Ave, Ann Arbor, MI 48104-5503 2019-04-18
1184186660 Jaedah Pickens Social Worker 110 N 4th Ave, Ann Arbor, MI 48104-5503 2019-04-03
1568920254 Rachael Elizabeth Roston Social Worker 110 N 4th Ave, Ann Arbor, MI 48104-5503 2019-03-12
1578020715 Christie Ann Wilde Social Worker 110 N 4th Ave, Ann Arbor, MI 48104-5503 2019-02-25
1609342278 Jeannie Cyrus Armstrong Registered Nurse 110 N 4th Ave, Ann Arbor, MI 48104-5503 2018-10-22
1699241729 William Clay Wieger Social Worker 110 N 4th Ave, Ann Arbor, MI 48104-5503 2018-10-16
1568943645 Danielle Psaila Social Worker 110 N 4th Ave, Ann Arbor, MI 48104-5503 2018-08-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336603927 Julie Corey Counselor 2604 Brockman Blvd, Ann Arbor, MI 48104 2019-01-28
1003301045 Ann Arbor Pharmacy LLC Pharmacy 2418 E Stadium Blvd, Ann Arbor, MI 48104 2018-06-22
1811499304 Melissa L Wright Physical Therapist 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 2018-03-01
1689180226 Walgreen Co Durable Medical Equipment & Medical Supplies 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 2017-12-19
1861911547 Jonathen Ross Social Worker 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 2017-09-14
1275058521 Emily Lauren Hanna Social Worker 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 2017-08-08
1073035457 Raynaldo Juaquin Valdez Specialist/Technologist 500 E. Hoover Ave, Ann Arbor, MI 48104 2017-07-07
1912436908 Alison Nicole Tseng Dentist 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 2017-06-05
1528593183 Hillary Baldwin Steller, Lmsw,llc Social Worker 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 2017-04-20
1013360973 Teresa Myers Massage Therapist 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 2016-07-15
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568062107 Noor Mateen Social Worker 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 2020-10-30
1295342970 Yan Luo Social Worker 536 S Forest Ave Apt 1614, Ann Arbor, MI 48104-2553 2020-09-28
1245845098 Matthew Cremin Social Worker 5340 Plymouth Rd Ste 104, Ann Arbor, MI 48105-9557 2020-09-09
1528678943 Joyce Y Lee Social Worker 2245 S State St Ste 1200, Ann Arbor, MI 48104-6279 2020-08-01
1649888900 Ian Reed Twiss Social Worker 2015 Geddes Ave, Ann Arbor, MI 48104-1715 2020-07-22
1114545308 Sarah Weissman Social Worker 1817 W Stadium Blvd Ste C, Ann Arbor, MI 48103-4577 2020-07-14
1710504618 Cjcasselman Lmsw LLC Social Worker 2311 Shelby Ave Ste 105, Ann Arbor, MI 48103-3849 2020-06-26
1295351807 Transitions Linda S Bender Lmsw Acsw Social Worker 4488 Jackson Rd Ste 4, Ann Arbor, MI 48103-1812 2020-06-19
1326661109 Naomi Rawitz Social Worker 120 E Liberty St Ste 370, Ann Arbor, MI 48104-2130 2020-05-27
1164042917 Sue Pellerito LLC Social Worker 2311 Shelby Ave Ste 105a, Ann Arbor, MI 48103-3849 2020-04-22
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Competitor

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City ANN ARBOR
Zip Code 48104

Improve Information

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Dataset Information

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.

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