KELLY ANN PETERSOHN (NPI# 1730341272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730341272 |
| Entity Type | Individual |
| Full Name | KELLY ANN PETERSOHN |
| Other Name | KELLY WALTON |
| Credential | LCSW |
| Practice Address |
6950 Hillsdale Ct Indianapolis IN 46250-2040 |
| Mailing Address |
6626 E 75th Street Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3176217561 |
| Practice Fax Number | 3176217608 |
| Mailing Telephone | 3176217561 |
| Mailing Fax Number | 3173556096 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
34006200A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100270530 | 05 |
| Street Address |
6950 HILLSDALE CT |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306845516 | Ann M Lovko | Psychologist | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2005-07-19 |
| 1316561525 | Stephen Sipka | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2020-06-03 |
| 1528690807 | Michelle Lynn Walkey-thornburg | Counselor | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2020-02-05 |
| 1265074694 | Devon Jones | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2019-10-17 |
| 1396395398 | Amanda Derr | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2019-09-12 |
| 1417507351 | Ashley N Thomas | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2019-09-12 |
| 1457912420 | Jacqueline Black | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2019-06-21 |
| 1275197675 | Kelsey Marfilius | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2019-05-01 |
| 1992369045 | Princeton Stewart | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250 | 2019-04-24 |
| 1730647504 | Melanie Carlson | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2019-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043571219 | Aby Wischmeier | Social Worker | 3535 Mechanicsburg Dr, Indianapolis, IN 46227-9626 | 2012-06-05 |
| 1326169269 | Julie Ann Timke | Social Worker | 8206 Narragansett Ct, Indianapolis, IN 46256-9789 | 2007-04-02 |
| 1174657894 | Trisha Ann Walker | Social Worker | 1800 N Franklin Rd, Indianapolis, IN 46219-2822 | 2007-03-15 |
| 1598871246 | Diane E Stiles | Social Worker | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2006-08-22 |
| 1487611224 | Ada Stephanie Hosier | Social Worker | 5660 Caito Dr, Suite 122, Indianapolis, IN 46226-1372 | 2006-04-26 |
| 1881205508 | Yasmeen Malika Tevis | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2020-08-14 |
| 1053956086 | Brent Alexander Kelly-hooks | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2019-11-13 |
| 1093268591 | Grace Rieman | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2016-08-01 |
| 1538545991 | Emma Marie Starks | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2015-08-07 |
| 1285015396 | Ashley Michelle Dunn | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2015-06-15 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on KELLY ANN PETERSOHN.
| 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.