MICHELLE PETERSON (NPI# 1689234288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689234288 |
| Entity Type | Individual |
| Full Name | MICHELLE PETERSON |
| Practice Address |
1499 Sixth Street Green Bay WI 54304 |
| Practice Telephone | 9204976161 |
| Practice Fax Number | 9204980476 |
| Mailing Telephone | 9204976161 |
| Mailing Fax Number | 9204980476 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
131472-121 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316358 | Michelle Hill Peterson | Counselor | 311 Bluebell Dr, Glenn Heights, TX 75154-8760 | 2020-11-03 |
| 1700325883 | Michelle Renae Peterson | Nurse Practitioner | 2529 Madison St, Bellevue, NE 68005-5366 | 2017-02-22 |
| 1598117939 | Michelle Danielle Peterson | Counselor | 27 Hiawatha Ct, Midland Park, NJ 07432-1005 | 2016-07-11 |
| 1609103779 | Michelle Peterson | Massage Therapist | 14040 Ne 8th St Ste 214, Bellevue, WA 98007-4138 | 2009-11-11 |
| 1619169901 | Michelle Peterson | Developmental Therapist | 579 Riford Rd, Glen Ellyn, IL 60137-4236 | 2007-08-10 |
| 1851354153 | Michelle C Peterson | Marriage & Family Therapist | 7600 Parklawn Ave, Edina, MN 55435 | 2006-04-08 |
| 1447811708 | Michelle L Peterson | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2019-06-26 |
| 1932664257 | Michelle Peterson | Social Worker | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-02-01 |
| 1538630579 | Michelle Ashley Edwards Peterson | Nurse Practitioner | 3505 S Mercy Rd, Gilbert, AZ 85297-0427 | 2018-12-17 |
| 1366954075 | Michelle Peterson | Social Worker | 199 S Central Ave, Columbus, OH 43223-1301 | 2017-11-03 |
| Street Address |
1499 SIXTH STREET |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386154235 | Sara Dorow | Social Worker | 1499 Sixth Street, Green Bay, WI 54304-5430 | 2017-10-05 |
| 1013482264 | Stephanie Larson | Counselor | 1499 Sixth Street, Green Bay, WI 54304 | 2018-10-03 |
| 1881178085 | Judy Treml | Social Worker | 1499 Sixth Street, Green Bay, WI 54304 | 2018-09-24 |
| 1639666472 | Carolyn Geesaman | Social Worker | 1499 Sixth Street, Green Bay, WI 54304 | 2018-04-17 |
| 1538664719 | Danielle Dicarlo | Social Worker | 1499 Sixth Street, Green Bay, WI 54304 | 2018-03-28 |
| 1821593153 | Nicole Walch | Case Manager/Care Coordinator | 1499 Sixth Street, Green Bay, WI 54304-2252 | 2018-03-28 |
| 1114437068 | Lisa Pryes | Social Worker | 1499 Sixth Street, Green Bay, WI 54304-5430 | 2017-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| 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 |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1386154235 | Sara Dorow | Social Worker | 1499 Sixth Street, Green Bay, WI 54304-5430 | 2017-10-05 |
| 1790230589 | Lois Pulvermacher and Associates LLC | Social Worker | 840 Challenger Dr Ste 130, Green Bay, WI 54311-8351 | 2016-08-22 |
| 1194190264 | Ronald Harsh | Social Worker | 1596 Jay Ln, Green Bay, WI 54304-3427 | 2015-12-01 |
| 1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
| 1861665002 | Leslie A Heckman | Social Worker | 111 S Jefferson Street, Green Bay, WI 54301 | 2008-04-09 |
| 1215078662 | Lois A Pulvermacher | Social Worker | 840 Challenger Dr, Ste 130, Green Bay, WI 54311-8351 | 2007-02-09 |
| 1467599431 | Kathleen J Bahler | Social Worker | 603 Beaupre St, Green Bay, WI 54301-2412 | 2007-01-31 |
| 1437204138 | Lisa Ann Burke | Social Worker | 2339 Cedar Ridge Court, Green Bay, WI 54303 | 2007-01-24 |
| 1831243328 | Barbara D Meyer | Social Worker | 2339 Cedar Ridge, Innovative Counseling Inc, Green Bay, WI 54313 | 2007-01-22 |
| Find all providers in GREEN BAY | ||||
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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.