MS. KIMBERLY A. PETERSON (NPI# 1447375746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447375746 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY A. PETERSON |
| Credential | LCSW |
| Practice Address |
3393 Magic Oak Ln Sarasota FL 34232-1821 |
| Mailing Address |
3612 Kingswood Dr Sarasota FL 34232-5821 |
| Practice Telephone | 9419281643 |
| Practice Fax Number | 9413428165 |
| Mailing Telephone | 9419281643 |
| Mailing Fax Number | 9413428165 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW6862 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003624 | Kimberly Ann Peterson | Registered Nurse | 1108 Independence Ct, Atchison, KS 66002-9554 | 2020-11-07 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1134642572 | Kimberly Peterson | Counselor | 2592 W Santa Clara Dr, Meridian, ID 83642-4363 | 2017-07-18 |
| 1720402100 | Kimberly Peterson | Registered Nurse | 11300 Columbiana Canfield Rd, Suite E, Canfield, OH 44406-8485 | 2014-02-06 |
| 1285898825 | Kimberly Anne Peterson | Speech-Language Pathologist | 205 N 85th St, Wauwatosa, WI 53226-4603 | 2008-07-14 |
| 1467955724 | Kimberly Rose Peterson | Counselor | 160 Howells Rd, Bay Shore, NY 11706-5320 | 2018-03-13 |
| 1013425602 | Kimberly Lauren Peterson | Student in an Organized Health Care Education/Training Program | 210 Avenue C, Danville, IL 61832-5410 | 2018-01-17 |
| 1104336668 | Kimberly A Peterson | Occupational Therapist | 1587 Myrtle Ave, Eureka, CA 95501-1453 | 2017-10-10 |
| 1538678263 | Kimberly Paige Peterson | Speech-Language Pathologist | 78 Hospital Rd, Macon, MS 39341-2490 | 2017-09-26 |
| 1265952626 | Kimberly Peterson | Registered Nurse | 300 S Bruce St, Marshall, MN 56258-1934 | 2017-06-26 |
| Street Address |
3393 MAGIC OAK LN |
| City | SARASOTA |
| State | FL |
| Zip Code | 34232-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023175817 | Stuart Horance | Psychologist | 3393 Magic Oak Ln, Sarasota, FL 34232-1821 | 2007-01-02 |
| 1467828541 | Carin Friedman | Social Worker | 3393 Magic Oak Ln, Sarasota, FL 34232-1821 | 2015-08-12 |
| 1508002874 | Angela Kyle Hynes | Acupuncturist | 3393 Magic Oak Ln, Sarasota, FL 34232-1821 | 2008-12-16 |
| 1154578128 | Christian Romero Psy D Licensed Psychologist LLC | Psychologist | 3393 Magic Oak Ln, Sarasota, FL 34232-1821 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1346736923 | Coastal In Home Senior Care | Adult Companion | 2609 Briar Oak Circle, Sarasota, FL 34232 | 2018-07-06 |
| 1508215450 | Stacy Centeno | Nurse Practitioner | 943 S Beneva Rd Ste 210, Sarasota, FL 34232 | 2016-06-10 |
| 1912307265 | Luis Guillermo Guzman | Internal Medicine | 943 S Beneva Rd Ste 201, Sarasota, FL 34232 | 2014-08-23 |
| 1225445190 | At Talitha Cumi Home Care, Inc | Home Health | 4647 Fruitville Rd, Suite 3388, Sarasota, FL 34232 | 2014-07-12 |
| 1790100543 | Ph Sarasota, LLC | Assisted Living Facility | 743 South Beneva Rd, Sarasota, FL 34232 | 2014-03-03 |
| 1437570264 | Leigh Ann Spohn | Occupational Therapy Assistant | 5115 Lahaina Dr., Sarasota, FL 34232 | 2013-12-20 |
| 1770917023 | Florida Mobility Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 5975 Cattlemen Lane, Sarasota, FL 34232 | 2013-08-22 |
| 1912345109 | Cb Medical LLC | Home Health | 619 Cattlemen Rd, Unit 54, Sarasota, FL 34232 | 2013-06-10 |
| 1598009318 | Margaret Donaker | Speech-Language Pathologist | 2727 Teal Ave., Sarastoa, FL 34232 | 2012-11-16 |
| Find all providers in zip 34232 | ||||
| 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 |
|---|---|---|---|---|
| 1295343564 | Cheryl Anne Leigh | Social Worker | 5758 Beaurivage Ave, Sarasota, FL 34243-2688 | 2020-07-22 |
| 1720696255 | Jessica Gastman | Social Worker | 3411 72nd Dr E, Sarasota, FL 34243-3375 | 2020-07-21 |
| 1417586470 | April Kelsey Collins | Social Worker | 150 Faubel St, Sarasota, FL 34242-1114 | 2020-04-02 |
| 1700424124 | Deborah Lynn Kirby | Social Worker | 1547 Napoli Dr W, Sarasota, FL 34232-6928 | 2019-12-16 |
| 1194363697 | Annie Altenor | Social Worker | 2503 S Scarlet Oak Ct, Sarasota, FL 34232-6120 | 2019-12-15 |
| 1871147892 | Mary Howell | Social Worker | 3333 Clark Rd Ste 110, Sarasota, FL 34231-8437 | 2019-07-29 |
| 1538647656 | Stephanie Lee Diez | Social Worker | 946 40th St, Sarasota, FL 34234-4320 | 2018-07-31 |
| 1013416999 | Mobilepreacher.org | Social Worker | 2881 Clark Rd Ste 11, Sarasota, FL 34231-6298 | 2018-02-06 |
| 1033634613 | Deborah J Ballantine | Social Worker | 1590 Siesta Dr, Sarasota, FL 34239-5819 | 2017-08-04 |
| 1629525803 | Palm Avenue Counseling, Pllc | Social Worker | 47 S Palm Ave, Suite 212, Sarasota, FL 34236-5699 | 2016-09-06 |
| Find all providers in SARASOTA | ||||
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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.