MRS. CARY LEIGH PETERSON (NPI# 1770817611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770817611 |
| Entity Type | Individual |
| Full Name | MRS. CARY LEIGH PETERSON |
| Other Name | MISS CARY LEIGH FARR |
| Credential | LMHC |
| Practice Address |
4420 76th St Ne Marysville WA 98270-3726 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4256517490 |
| Mailing Telephone | 4252583900 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH 60124112 | WA | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | LW60750069 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2046876 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982831558 | Cary Robert Peterson | Family Medicine | 1700 Peach St Ste 200, Erie, PA 16501-2134 | 2009-06-22 |
| Street Address |
4420 76TH ST NE |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98270-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613846 | Diane L Cashman | Nurse Practitioner | 4420 76th St Ne, Marysville, WA 98270-3726 | 2005-10-17 |
| 1972112506 | Ana Elisa Colmenero Gargari | Family Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2020-07-29 |
| 1952969701 | Patrick Schmees | Pharmacist | 4420 76th St Ne, Marysville, WA 98270-3726 | 2019-06-05 |
| 1083134944 | Si Jung Suh | Internal Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2017-06-22 |
| 1346772563 | Kylanne Berry | Physician Assistant | 4420 76th St Ne, Marysville, WA 98270-3726 | 2017-03-28 |
| 1235591058 | Janna Lam Keenan | Pediatrics | 4420 76th St Ne, Marysville, WA 98270 | 2016-03-22 |
| 1467862581 | Jonathon Hodges | Family Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2014-04-28 |
| 1346675527 | Theressa Marie Hecht | Pharmacist | 4420 76th St Ne, Marysville, WA 98270-3726 | 2013-09-06 |
| 1285079822 | The Bartell Drug Co | Pharmacy | 4420 76th St Ne, Marysville, WA 98270-3726 | 2013-05-09 |
| 1265778849 | Brett Alan Schweizer | Internal Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2012-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706631 | Amy Jean Tuengel | Massage Therapist | 4731 61st Ne, Marysville, WA 98270 | 2020-06-26 |
| 1821569534 | Andrew M Reid | Physical Therapist | Marysville Physical Therapy, 919 State Avenue Suite 101, Marysville, WA 98270 | 2018-12-07 |
| 1861989162 | Jenna Celine Schmidt | Student in an Organized Health Care Education/Training Program | Seamar Marysville Family Medicine Residency Program, 9710 State Ave, Marysville, WA 98270 | 2018-04-23 |
| 1497103162 | Kyoung Craddock | Registered Nurse | 5722 65th St Ne, Marysville, WA 98270 | 2016-06-02 |
| 1235553348 | Marysville School District | Speech-Language Pathologist | 4220 80th Street Ne, Marysville School District, Marysville, WA 98270 | 2014-02-10 |
| 1386085694 | Malgorzata Cassidy | Counselor | 4308 76th. St. Ne, Marysville, WA 98270 | 2013-07-15 |
| 1972852374 | Suzanne Leboeuf | Counselor | 1227 2nd St., Marysville, WA 98270 | 2012-08-31 |
| 1508121161 | Tricia Nicole Davis | Pharmacy Technician | 6602 74th St Ne, Marysville, WA 98270 | 2012-07-10 |
| 1962774216 | Lynae Marie Swinheart | Community/Behavioral Health | 6418 66th Pl Ne, Marysville, WA 98270 | 2012-02-02 |
| 1598042459 | Jamie Rae Isaacson | Speech-Language Pathologist | 1820 Grove St., Marysville, WA 98270 | 2011-11-07 |
| Find all providers in zip 98270 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790330082 | Jennifer Barry | Social Worker | 803 D St, Marysville, CA 95901-5320 | 2019-08-05 |
| 1982169108 | Breanna Day | Social Worker | 880 6th St, Marysville, MI 48040-1210 | 2019-02-01 |
| 1710330741 | Jodie Williams | Social Worker | 1005 Jacobs St, Marysville, CA 95901-3943 | 2016-07-14 |
| 1326382292 | Kristina Wills | Social Worker | 715 S. Plum St., Marysville, OH 43040-1631 | 2012-11-16 |
| 1720365828 | Nicole Dunbar | Social Worker | 715 S. Plum Street, Marysville, OH 43040 | 2011-11-03 |
| 1215036934 | Sara Van Slyke | Social Worker | 16920 Square Drive, Marysville, OH 43040 | 2006-09-21 |
| 1720199441 | Tammy Lou Lademer | Social Worker | 480 8th St, Marysville, MI 48040-1512 | 2006-08-31 |
| 1477566396 | Jessica A Hord | Social Worker | 715 S. Plum St, Marysville, OH 43040 | 2006-08-14 |
| 1003889189 | Jennifer A Burrows | Social Worker | 715 S Plum, Marysville, OH 43040 | 2006-02-09 |
| 1215562640 | Melissa Jo Ussher | Social Worker | 715 S Plum St, Marysville, OH 43040-1631 | 2020-03-05 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 98270 |
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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.