MRS. PENNY JO NICHOLS-PETERSON


Address: 6955 University Ave, Windsor Heights, IA 50324-1540
Phone: 5158027348

MRS. PENNY JO NICHOLS-PETERSON (NPI# 1356647143) 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) 1356647143
Entity Type Individual
Full Name MRS. PENNY JO NICHOLS-PETERSON
Other Name PENNY J PETERSON
Credential LISW
Practice Address 6955 University Ave
Windsor Heights
IA 50324-1540
Mailing Address 4517 49th Pl
Des Moines
IA 50310-2969
Practice Telephone 5158027348
Practice Fax Number 5152553944
Mailing Telephone 5158027348
Mailing Fax Number 5152553944
Enumeration Date 2011-01-27
Last Update Date 2015-01-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
007260 IA Behavioral Health & Social Service Providers

Office Location

Street Address 6955 UNIVERSITY AVE
City WINDSOR HEIGHTS
State IA
Zip Code 50324-1540

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003055138 Joellen Marie Wolterman Audiologist-Hearing Aid Fitter 6955 University Ave, Windsor Heights, IA 50311-1540 2009-02-12
1013306224 Intuitive Heart Counseling Services, LLC Social Worker 6955 University Ave, Windsor Heights, IA 50324-1540 2015-01-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396262291 Nuspine IIi Inc. Chiropractor 7241 Apple Valley Drive, Windsor Heights, IA 50324 2017-08-23
1396921508 Elisabeth Lee Jones Nurse Practitioner 7700 Hickman Road, Windsor Heights, IA 50324 2008-01-17
1932630167 Brown Therapy Resources LLC Community/Behavioral Health 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 2017-03-21
1891230447 Rebecca Lake Chiropractor 974 73rd St, #40, Windsor Heights, IA 50324-1024 2017-01-05
1851643019 Demarco Dental Practice,p.c. Dentist 974 73rd St, Suite 37, Windsor Heights, IA 50324-1024 2012-10-11
1477709228 Kevin Scott Brown Counselor 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 2008-08-13
1598899155 Barry R Svec Dentist 974 73rd St, Suite #4, Windsor Heights, IA 50324-1024 2007-03-15
1184787343 Heartland Vascular Medicine and Surgery PC Surgery 974 73rd St, Suite 23, Windsor Heights, IA 50324-1024 2006-12-19
1750474318 Myrie & Associates Surgery 974 73rd St, Suite 25, Windsor Heights, IA 50324-1024 2006-10-02
1427004464 Alan Russell Koslow Surgery 974 73rd St, Suite 23, Windsor Heights, IA 50324-1024 2006-05-25
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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
1619513066 Abcd Therapy & Consulting LLC Social Worker 6842 University Ave Ste B, Windsor Heights, IA 50324-1509 2019-11-20
1285121715 Alyssa Clayden Social Worker 6842 University Ave, Ste B, Windsor Heights, IA 50324-1509 2018-04-19
1336648088 L Baxter Lisw LLC Social Worker 974 73rd St Ste 24, Windsor Heights, IA 50324-1200 2018-02-08
1700193968 Charlcie Young Carey Social Worker 6959 University Ave, Windsor Heights, IA 50324-1540 2010-09-09
1063516185 David Brian Greenwood Social Worker 6900 University Avenue, Suite 135, Windsor Heights, IA 50311-1505 2006-09-11
1518328988 Mjc Therapeutic Counseling Services LLC Social Worker 1000 73rd St, Ste 5, Windsor Heights, IA 50324-1321 2016-03-14
1013306224 Intuitive Heart Counseling Services, LLC Social Worker 6955 University Ave, Windsor Heights, IA 50324-1540 2015-01-12
1699860700 Vivian Ross Lehew Social Worker 6900 University Ave, Suite 135, Windsor Heights, IA 50311-1505 2006-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669070777 Carlie Shannon Social Worker 736 Federal St., Ste. 1-103, Davenport, IA 52803-5768 2020-10-12
1780281444 Cedar Vista Counseling, LLC Social Worker 1231 Park Pl Ne Ste L1, Cedar Rapids, IA 52402-2013 2020-10-06
1407463722 Beth Garza Social Worker 2600 Dodge St Ste A-1, Dubuque, IA 52003-7159 2020-09-30
1255948378 Restore Therapy and Counseling, Plc Social Worker 24 19th St Sw, Sioux Center, IA 51250-1194 2020-09-24
1023624913 Be Well Healing Services, LLC Social Worker 1226 Sunset St, Iowa City, IA 52246-4942 2020-09-16
1972117679 Megan F Caballero Social Worker 1538 Alder Dr, North Liberty, IA 52317-4714 2020-09-01
1093327173 Joanne Alvorez Social Worker 728 Erie Street, Storm Lake, IA 50588 2020-08-19
1013529114 Keli Hagen Lisw, Pllc Social Worker 4403 1st Ave Se Ste 412, Cedar Rapids, IA 52402-3221 2020-08-19
1629687850 Schuur Counseling & Consulting LLC Social Worker 679 14th St Ne, Mason City, IA 50401-2350 2020-07-23
1366060584 Rural Behavioral Health, LLC Social Worker 2212 Ironwood Ct, Ames, IA 50014-7872 2020-07-14
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Competitor

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City WINDSOR HEIGHTS
Zip Code 50324

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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