STEPHEN PETERSON (NPI# 1790161776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790161776 |
| Entity Type | Individual |
| Full Name | STEPHEN PETERSON |
| Credential | LCSW,LCAC |
| Practice Address |
3708 Ashley Oaks Dr Apt. D Lafayette IN 47905-4495 |
| Practice Telephone | 7655865024 |
| Mailing Telephone | 7655865024 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34001361A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821562885 | Stephen Lynn Peterson II | Respiratory Therapist, Registered | 1350 S Ellsworth Rd Apt 1122, Mesa, AZ 85209-2809 | 2019-01-13 |
| 1003284886 | Stephen Peterson | Counselor | 7400 Metro Blvd Ste 220, Edina, MN 55439-2321 | 2015-09-09 |
| 1114331535 | Stephen C Peterson | Family Medicine | 14 N 3rd Ave, Fruitport, MI 49415-8942 | 2014-06-13 |
| 1992897771 | Stephen Dexter Peterson | General Practice | 185 E. 7th Ave., Suite D, Chico, CA 95926 | 2006-09-29 |
| 1164538021 | Stephen W Peterson | Dentist | 206 Cypress St, Manistee, MI 49660-1700 | 2006-08-22 |
| 1720693617 | Stephen Peterson | Physical Therapist | 3390 Saxonburg Blvd Ste 250, Glenshaw, PA 15116-3160 | 2020-09-09 |
| 1548659451 | Stephen Peterson | Physical Therapist | 746 S Main Ave, Fallbrook, CA 92028-3333 | 2015-01-15 |
| 1801137377 | Stephen Eugene Peterson | Psychiatry & Neurology | 428 W 42nd St, Kansas City, MO 64111-3176 | 2013-03-08 |
| 1891964706 | Stephen Peterson | Case Manager/Care Coordinator | 2650 W Broadway, Louisville, KY 40211-1333 | 2008-02-25 |
| 1629127915 | Stephen P Peterson | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2007-01-09 |
| Street Address |
3708 ASHLEY OAKS DR APT. D |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| 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 |
|---|---|---|---|---|
| 1508479874 | Lisa Cannon Counseling, LLC | Social Worker | 534 S 9th St, Lafayette, IN 47901-1727 | 2020-08-26 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1871104208 | The Therapy Garden | Social Worker | 119 Ridgeway Dr Ste B1, Lafayette, LA 70503-3446 | 2020-08-10 |
| 1437769064 | Natalie Bunner | Social Worker | 107 Global Cir, Lafayette, LA 70503-5319 | 2020-08-07 |
| 1104464197 | Rebecca Oyer, Msw, Lcsw, Sep, LLC | Social Worker | 143 Ridgeway Dr Ste 101, Lafayette, LA 70503-3410 | 2019-12-20 |
| 1740827104 | Melissa T Vidrine | Social Worker | 345 Doucet Rd Ste 226, Lafayette, LA 70503-3490 | 2019-12-04 |
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1871141663 | Jayme Liles | Social Worker | 200 Claymore Dr, Lafayette, LA 70503-3834 | 2019-08-27 |
| 1821650987 | Kathryn Dietzway | Social Worker | 345 Doucet Rd Ste 217, Lafayette, LA 70503-3488 | 2019-06-28 |
| 1861952210 | Laura Willenborg Counseling LLC | Social Worker | 1000 Sagamore Pkwy N Ste 207, Lafayette, IN 47904-2474 | 2019-03-21 |
| Find all providers in LAFAYETTE | ||||
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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.