MR. MICHAEL PETERSON (NPI# 1750651113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750651113 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL PETERSON |
| Credential | LCSW |
| Practice Address |
1400 N Hayworth Ave Apt 9 West Hollywood CA 90046-3836 |
| Practice Telephone | 3104982632 |
| Mailing Telephone | 3104982632 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 20727 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1548715634 | Michael Latrae Peterson | Social Worker | 6767 W Windmill Ln, Las Vegas, NV 89139-6501 | 2016-08-18 |
| 1033544119 | Michael Robert Peterson | Counselor | 522 4th St S, Stillwater, MN 55082-4966 | 2013-09-09 |
| 1578848131 | Michael Dean Peterson | Dentist | 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 | 2011-10-14 |
| 1467693119 | Michael Lamont Peterson | Registered Nurse | 13 Hollister St, Rochester, NY 14605-1401 | 2009-03-10 |
| 1003062001 | Michael Carl Peterson | Physical Therapist | 2850 Mitchell Rd, Jamestown, NY 14701-8906 | 2008-08-11 |
| 1942472691 | Michael E Peterson | Dentist | 5355 W State St, Boise, ID 83703-3333 | 2008-04-01 |
| 1134325145 | Michael W Peterson | Dentist | 1319 Tennessee St, Vallejo, CA 94590 | 2007-06-26 |
| 1609079094 | Michael Gene Peterson | Emergency Medicine | 201 E. Nicollet Blvd., Burnsville, MN 55337 | 2007-06-06 |
| 1770634909 | Michael Warren Peterson | Dermatology | 114 East 800 North, Spanish Fork, UT 84660 | 2007-01-15 |
| Street Address |
1400 N HAYWORTH AVE APT 9 |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90046-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325084 | Rimma R Golub | Nurse Practitioner | 948 N. Fairfax Ave, Suite 201, West Hollywood, CA 90046 | 2020-10-29 |
| 1053923607 | Jm Medical Solutions, LLC | Point of Service | 7741 Hollywood Blvd, Los Angeles, CA 90046 | 2020-08-17 |
| 1720592744 | Brian A Torres | Marriage & Family Therapist | 805 North Alta Vista Blvd, Unit 6, Los Angeles, CA 90046 | 2017-11-29 |
| 1770008005 | James N. Orr | Acupuncturist | 1351 N. Crescent Heights Blvd., Suite 116, West Hollywood, CA 90046 | 2017-08-08 |
| 1255701975 | Cameron Lee | Counselor | 8345 Ridpath Drive, Los Angeles, CA 90046 | 2015-10-07 |
| 1720465420 | The Doctor | Internal Medicine | 7531 Santa Monica Blvd Suite 101, West Hollywood, CA 90046 | 2015-05-01 |
| 1497152995 | Lisa Maznio | Counselor | 1400 N Martel Ave Apt 202, Los Angeles, CA 90046 | 2014-11-26 |
| 1013356690 | Pamela Rose Scott | Acupuncturist | 1321 N. Fairfax Ave., #3, West Hollywood, CA 90046 | 2013-06-18 |
| 1720360050 | Paul S. Raine | Marriage & Family Therapist | 8235 Santa Monica Blvd., Suite 400, West Hollywood, CA 90046 | 2011-09-13 |
| 1780995233 | Anna Samsanovich | Registered Nurse | 1701 Camino Palmero, Los Angeles, CA 90046 | 2010-06-30 |
| Find all providers in zip 90046 | ||||
| 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 |
|---|---|---|---|---|
| 1598234270 | Jacqueline Ann Stahl | Social Worker | 1215 N Poinsettia Pl, West Hollywood, CA 90046-5717 | 2018-11-25 |
| 1124528476 | Julia Anne Galaudet | Social Worker | 8240 Beverly Blvd Ste 8, West Hollywood, CA 90048-4529 | 2018-02-13 |
| 1215486956 | Lauren Lenke | Social Worker | 1203 N Sweetzer Ave, West Hollywood, CA 90069-3045 | 2016-09-22 |
| 1669841151 | Caryn Andrea Lindsey | Social Worker | 8700 Beverly Blvd Ste 2802, West Hollywood, CA 90048-1804 | 2015-09-15 |
| 1568735777 | Carmi S Ruiz | Social Worker | 8235 Santa Monica Blvd Ste 302, West Hollywood, CA 90046-5969 | 2012-02-17 |
| 1205134020 | Ann E. Schmidt | Social Worker | 1272 N Fairfax Ave, West Hollywood, CA 90046-5206 | 2011-03-02 |
| 1205097938 | Christina Marie Dougherty | Social Worker | 1206 N Clark St, West Hollywood, CA 90069-2002 | 2008-06-25 |
| 1679732648 | David D Haynik | Social Worker | 7320 Santa Monica Blvd Apt 404, West Hollywood, CA 90046-6688 | 2008-06-05 |
| 1134309842 | Kevin Eugene Calliham | Social Worker | 8530 Holloway Dr, Suite #305, West Hollywood, CA 90069-2475 | 2007-11-09 |
| 1356447742 | Daniel Sheldon Field | Social Worker | 941 N Genesee Ave, 7, West Hollywood, CA 90046-7347 | 2006-09-15 |
| Find all providers in WEST HOLLYWOOD | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90046 |
Please comment or provide details below to improve the information on MR. MICHAEL PETERSON.
| 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.