DEBORAH A PETERMAN (NPI# 1659391605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659391605 |
Entity Type | Individual |
Full Name | DEBORAH A PETERMAN |
Credential | MSW CADCIII |
Practice Address |
339 Reed Ave Manitowoc WI 54220-2020 |
Mailing Address |
Po Box 2290 Manitowoc WI 54221-2290 |
Practice Telephone | 9203208600 |
Practice Fax Number | 9203208662 |
Mailing Telephone | 9203208600 |
Mailing Fax Number | 9203208662 |
Enumeration Date | 2006-07-20 |
Last Update Date | 2008-06-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1998 | WI | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
189-123 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39706900 | 05 | |
NETWORK HEALTH PLAN | 40437 | 01 | |
CIGNA | S91262 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346371606 | Deborah A. Peterman | Occupational Therapist | 600 Eden Road, Building I, Lancaster, PA 17601-4205 | 2007-03-08 |
1558358424 | Deborah Peterman | Nurse Practitioner | 34434 King Street Row, Suite 4, Lewes, DE 19958-4787 | 2005-10-05 |
Street Address |
339 REED AVE |
City | MANITOWOC |
State | WI |
Zip Code | 54220-2020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437132701 | Lee A Werner | Nurse Practitioner | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2005-11-21 |
1457843559 | Callie Schroeder | Psychologist | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2018-06-04 |
1932699063 | Amanda Hartwig | Counselor | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2018-05-15 |
1124565882 | Brenda Stallbaum | Nurse Practitioner | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2017-01-19 |
1457521866 | Mylan Vaugeois Kohler | Psychiatry & Neurology | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2008-03-03 |
1447448071 | Robin S Coleman | Clinical Nurse Specialist | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2007-10-09 |
1932120607 | Cameron A Goetz | Psychologist | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2006-07-21 |
1467473074 | Holy Family Memorial Inc | Clinic/Center | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2006-07-21 |
1376563221 | Mary S Christensen | Social Worker | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2006-07-20 |
1053331090 | Marianne E Webers | Social Worker | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2006-07-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
Find all providers in zip 54220 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881600039 | N John Laliberte | Counselor | 115 East Waldo Blvd, Manitowoc, WI 54220 | 2006-07-31 |
1174585988 | Wendy Frederickson Trudeau | Counselor | 926 S 8th St, Manitowoc, WI 54220-4535 | 2006-04-05 |
1235764226 | Angela Jean Sleger | Counselor | 1114 S 11th St, Manitowoc, WI 54220-5217 | 2020-03-10 |
1336784545 | Michelle Waack | Counselor | 926 S 8th St, Manitowoc, WI 54220-4535 | 2019-11-12 |
1689236267 | Maria Pla | Counselor | 926 S 8th St, Manitowoc, WI 54220-4535 | 2019-07-03 |
1124045190 | Julia K Niver | Counselor | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2006-07-16 |
1871510677 | Brian L Boomgarden | Counselor | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
1578160974 | Jennifer A Nyman | Counselor | 2408 N 89th St, Wauwatosa, WI 53226-1804 | 2020-10-08 |
1558977991 | Guided Solutions Therapy, LLC | Counselor | 126 W Holum St, Deforest, WI 53532-1108 | 2020-09-21 |
1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
1518580182 | Michele Denise Perron | Counselor | 912 Baxter Ave, Superior, WI 54880-1735 | 2020-05-18 |
1003438391 | Kimberly Rose Schlomann | Counselor | W227s10580 River Ave, Big Bend, WI 53103-9563 | 2020-05-10 |
1477174381 | Sarah Ross | Counselor | 302 West Lake St., Friendship, WI 55934 | 2020-05-01 |
1124657721 | Joanne Berthelsen Lcsw LLC | Counselor | 830 Armour Rd Ste 2, Oconomowoc, WI 53066-3959 | 2020-04-06 |
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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.